| NPI | 1689972606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH DECOSMO President 856-662-7883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MB02598600) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |