NPI 1023044724

Advanced Dermatology & Skin Surgery, PC

Organisation Dermatology Physician Lakewood, NJ

Practice location

Address: 886 River Ave, Lakewood, NJ 08701-5220
Phone: (732) 905-9200

Authorised official

Name: Mordechai M Tarlow
Title: President
Phone: (732) 905-9200

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 25MA07911600 (NJ)

Other Dermatology providers in New Jersey →

Registry record

NPI: 1023044724
Entity type: Organization
NPI issued: 24 Jun 2006
Record last updated: 25 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.