| NPI | 1942201645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK POPKIN Medical Doctor 973-993-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 57078) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 57081) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2013-02-15 |