NPI 1518900810

Dermatology and Laser Center of Northern New Jersey LLC

Organisation MOHS-Micrographic Surgery Physician Livingston, NJ

Practice location

Address: 290 S Livingston Ave Suite 1, Livingston, NJ 07039-3931
Phone: (973) 740-0101

Authorised official

Name: Lewis Peter Stolman
Title: Physician
Phone: (973) 740-0101

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 25MA02387300 (NJ)

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Registry record

NPI: 1518900810
Entity type: Organization
NPI issued: 14 Jun 2006
Record last updated: 14 Sep 2007

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.