N J Dermatopathology
Specialty details in registry · West Orange, NJ
At a glance
769 Northfield Ave Ste Ll30, West Orange, NJ 07052
NPPES record updated Mar 30, 2010. Public records can lag behind changes at a practice.
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Practice location
769 Northfield Ave Ste Ll30West Orange, NJ 07052
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 207ND0900X
- Enumeration date
- Nov 17, 2006
- Record updated
- Mar 30, 2010
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
207ND0900X · Primary
License reported: 25MA03949600. NJ
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
769 Northfield Ave Ste Ll30West Orange, NJ 07052
- Phone
- (973) 669-0141
- Fax
- (973) 669-8220
Mailing address
769 NORTHFIELD AVE STE LL30WEST ORANGE, NJ 07052
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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