| NPI | 1831145200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JOHN CHANDA President 321-724-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME32634) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-11-04 |