| NPI | 1528466919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA MARIE OSMUNDSON Doctor 732-836-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2015-01-30 |