1033518758 NPI number — THE DERMATOLOGY CENTER OF NJ,PC

Table of content: (NPI 1033518758)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033518758 NPI number — THE DERMATOLOGY CENTER OF NJ,PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE DERMATOLOGY CENTER OF NJ,PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033518758
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
745 US HIGHWAY 202/206
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
BRIDGEWATER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08807-1758
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-393-9755
Provider Business Mailing Address Fax Number:
908-393-9757

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
745 US HIGHWAY 202/206
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
BRIDGEWATER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08807-1758
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-393-9755
Provider Business Practice Location Address Fax Number:
908-393-9757
Provider Enumeration Date:
08/19/2014

Additional Information

Authorized Official

Authorized Official Last Name:
AGARWAL
Authorized Official First Name:
ASHA
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
908-393-9755

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  25MA07870700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1598991960 . This is a "NPI" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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