| NPI | 1518260512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON P CERVERA Manager 201-926-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |