| NPI | 1508284605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN J CHIUMENTO President 973-538-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA07226800) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-07-14 |