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1417620469
ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A
PORT ST LUCIE, FL
NPI
1417620469
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Entity Type
Organization
Authorized Contact
JEFFREY T. MASESSA
President
973-625-0600
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A
8980 S US HIGHWAY 1 STE 103
PORT ST LUCIE, FL 34952-3482
Phone number: 772-446-9100
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Mailing Address
ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A
35 GREEN POND RD STE C
ROCKAWAY, NJ 07866-2057
Phone number: 973-625-0600
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