| NPI | 1780894428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN COHEN Owner 732-222-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MA06221000) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-03-07 |