Active NPIOrganization

Tdg Center For Dermatologic Care LLC

Dermatology in Shrewsbury, New Jersey

NPI Number1386182053
Practice location
170 Avenue At The Cmn, Suite 2, Shrewsbury, NJ 07702-4803
Fax
732-542-6392
Last updated
May 1, 2017

Tdg Center For Dermatologic Care LLC is a healthcare organization based in Shrewsbury, NJ. Tdg Center For Dermatologic Care LLC practices in Shrewsbury, NJ. The NPI Number for Tdg Center For Dermatologic Care LLC is 1386182053 and holds a License No. 25MA05082700 (NJ). The current practice location address for Tdg Center For Dermatologic Care LLC is 170 Avenue At The Cmn, Suite 2, Shrewsbury, NJ 07702-4803 and can be reached out via phone at 973-571-2121 and via fax at 732-542-6392.

Provider Profile Details

NPI Number
1386182053
Provider Name
Tdg Center For Dermatologic Care LLC
Provider Entity Type
Organization
Address
170 Avenue At The Cmn, Suite 2, Shrewsbury, NJ 07702-4803
Phone Number
973-571-2121
Fax Number
732-542-6392
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Simon J Samaha, MD · Assistant Secretary · 973-571-2121
Provider Enumeration Date
February 2, 2017
Last Update Date
May 1, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Avenue At The Cmn
Suite 2
Shrewsbury, NJ 07702-4803
Zip
07702-4803
Phone Number
973-571-2121
Fax Number
732-542-6392
Shrewsbury, NJ 07702Get directions →

Provider Business Mailing Address Details

Address
347 Mount Pleasant Ave
Suite 205
West Orange, NJ 07052-2744
City
West Orange
State
NJ
Zip
07052-2744
Phone Number
973-571-2121
Fax Number
973-498-0569

License Information

License Number
25MA05082700
License State
NJ
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tdg Center For Dermatologic Care LLC?

The NPI number of Tdg Center For Dermatologic Care LLC is 1386182053. It was assigned on February 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Tdg Center For Dermatologic Care LLC?

Tdg Center For Dermatologic Care LLC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MA05082700.

Where does Tdg Center For Dermatologic Care LLC practice?

The practice location is 170 Avenue At The Cmn, Suite 2, Shrewsbury, NJ 07702-4803. The office can be reached at 973-571-2121 (phone) or 732-542-6392 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386182053 directly on the NPPES registry website.

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