| NPI | 1811207210 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE D JAEGER Medical Director 212-262-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |