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Contact Information

DERMATOLOGY INSTITUTE AND LASER CENTER
1100 CLIFTON AVE
CLIFTON, NJ07013
 Phone: 973-472-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY INSTITUTE AND LASER CENTER · (Female)

NPI # 1457796567
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2013
Last updated 05/02/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MB08665600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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