NPI 1376230581

Modern Dermatology and Cosmetic Center LLC

Organisation Dermatology Physician Wall, NJ

Practice location

Address: 2510 Belmar Blvd, Wall, NJ 07719-3948
Phone: (908) 391-1694

Authorised official

Name: Iris Hatziminas
Title: Owner
Phone: (908) 391-1694

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in New Jersey →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in New Jersey →

Registry record

NPI: 1376230581
Entity type: Organization
NPI issued: 18 Apr 2023
Record last updated: 18 Apr 2023

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.