| NPI | 1861520090 |
|---|---|
| Doing Business As | SOUTH JERSEY DERMATOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH M MASESSA President 973-586-7447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ MA051828) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ MA051828) |
| 207ND0900X Dermatology, Dermatopathology (Licence: NJ MA051828) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: NJ MA051828) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: NJ MA051828) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ MA051828) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-10-15 |