Cosulich Dermatology LLC
Dermatology in Wall Township, New Jersey
1427333632- Practice location
- 3350 Highway 138, Building 2 Suite 122, Wall Township, NJ 07719-9693
- Phone
- 732-280-1200
- Fax
- 732-280-1207
- Last updated
- June 7, 2021
Cosulich Dermatology LLC is a healthcare organization based in Wall Township, NJ. Cosulich Dermatology LLC practices in Wall Township, NJ. The NPI Number for Cosulich Dermatology LLC is 1427333632 and holds a License No. 25MA04679500 (NJ). The current practice location address for Cosulich Dermatology LLC is 3350 Highway 138, Building 2 Suite 122, Wall Township, NJ 07719-9693 and can be reached out via phone at 732-280-1200 and via fax at 732-280-1207.
Provider Profile Details
- NPI Number
- 1427333632
- Provider Name
- Cosulich Dermatology LLC
- Provider Entity Type
- Organization
- Address
- 3350 Highway 138, Building 2 Suite 122, Wall Township, NJ 07719-9693
- Phone Number
- 732-280-1200
- Fax Number
- 732-280-1207
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Michael Cosulich, MD · Owner · 732-280-1200
- Provider Enumeration Date
- October 19, 2011
- Last Update Date
- June 7, 2021
- Certification Date
- June 7, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3350 Highway 138
Building 2 Suite 122
Wall Township, NJ 07719-9693 - City
- Wall Township
- State
- New Jersey
- Zip
- 07719-9693
- Phone Number
- 732-280-1200
- Fax Number
- 732-280-1207
Provider Business Mailing Address Details
- Address
- 3350 Highway 138
Building 2 Suite 122
Wall Township, NJ 07719-9693 - City
- Wall Township
- State
- NJ
- Zip
- 07719-9693
- Phone Number
- 732-280-1200
- Fax Number
- 732-280-1207
License Information
- License Number (1)
- 25MA04679500
- License State (1)
- NJ
- Taxonomy (1)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- License Number (2)
- 25MA04679500
- License State (2)
- NJ
- Taxonomy (2)
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Wall Township, NJ
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- Kayla Costello, BCBABehavior Analyst · NPI 1477428498
- Christina UrbanCounselor, Mental Health · NPI 1285533794
- Vanitha Yadalla MD LLCInternal Medicine · NPI 1477919710
- Barbara FavrettoSpeech-Language Pathologist, · NPI 1649178914
Frequently Asked Questions
What is the NPI number of Cosulich Dermatology LLC?
The NPI number of Cosulich Dermatology LLC is 1427333632. It was assigned on October 19, 2011 and is currently active in the NPPES registry.
What is the specialty of Cosulich Dermatology LLC?
Cosulich Dermatology LLC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MA04679500.
Where does Cosulich Dermatology LLC practice?
The practice location is 3350 Highway 138, Building 2 Suite 122, Wall Township, NJ 07719-9693. The office can be reached at 732-280-1200 (phone) or 732-280-1207 (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 1427333632 directly on the NPPES registry website.