| NPI | 1700973617 |
|---|---|
| Former Legal Business Name | ADVANCED DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | BIRGIT K TOOME Manager 856-691-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA05327500) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-10-05 |