| NPI | 1932111465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY WEINBERG Buisness Manager 973-335-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |