| NPI | 1699960096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANN RISHKO CUSACK Physician/Owner 856-206-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA07815500) |
| Enumeration Date | 2007-09-09 |
| Last Update Date | 2020-12-04 |