| NPI | 1710022132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE PENZYNSKI Credentialing Manager 732-212-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-01-11 |