NPI | 1982956124 |
---|---|
Doing Business As | DERMATOLOGY AND LASER CENTER OF NORTHERN NEW JERSEY |
Entity Type | Organization |
Authorized Contact | NOUSHIN HEIDARY CEO 973-740-0101 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA98581800) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2012-10-12 |