| NPI | 1629197819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY D GELLER President 908-879-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA05059400) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA05059400) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-11-26 |