| NPI | 1659765311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L CAUWENBERGHS Dermatology Coordinator 201-265-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA06657800) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-30 |