NPI 1679835946

Dmitry Khasak MD PC INC

Organisation Dermatology Physician Jersey City, NJ

Practice location

Address: 100 Pavonia Ave STE 409, Jersey City, NJ 07310-2778
Phone: (201) 626-4040
Fax: (866) 861-0767

Authorised official

Name: Eugene Gerlants
Title: Manager
Phone: (201) 889-7047

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in New Jersey →

Registry record

NPI: 1679835946
Entity type: Organization
NPI issued: 13 Jun 2012
Record last updated: 13 Jun 2012

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.