| NPI | 1750476768 |
|---|---|
| Doing Business As | CHCA NJ DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CORBO Enrollment Manager 267-425-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-11-12 |