NPI | 1811129141 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ADAM KIKEN Owner 973-301-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MA0837050) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A89501) |
207N00000X Dermatology (Licence: NY 233992-1) | |
Enumeration Date | 2009-08-20 |
Last Update Date | 2009-10-12 |