Laser Skin Therapies At Notchview-Pine Brook, LLC
Clinic/Center, Medical Specialty in Clifton, New Jersey
1588824262- Practice location
- 1033 US Highway 46, Clifton, NJ 07013-2473
- Phone
- 973-779-3911
- Fax
- 973-471-2730
- Last updated
- June 16, 2008
Laser Skin Therapies At Notchview-Pine Brook, LLC is a healthcare organization based in Clifton, NJ. Laser Skin Therapies At Notchview-Pine Brook, LLC practices in Clifton, NJ. The NPI Number for Laser Skin Therapies At Notchview-Pine Brook, LLC is 1588824262 and holds a License No. 25MA05503100 (NJ). The current practice location address for Laser Skin Therapies At Notchview-Pine Brook, LLC is 1033 US Highway 46, Clifton, NJ 07013-2473 and can be reached out via phone at 973-779-3911 and via fax at 973-471-2730.
Provider Profile Details
- NPI Number
- 1588824262
- Provider Name
- Laser Skin Therapies At Notchview-Pine Brook, LLC
- Provider Entity Type
- Organization
- Address
- 1033 US Highway 46, Clifton, NJ 07013-2473
- Phone Number
- 973-779-3911
- Fax Number
- 973-471-2730
- Primary Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X
- Organization Subpart
- No
- Authorized Official
- Dr. Susan Mediterraneo, MD · Member · 973-227-0169
- Provider Enumeration Date
- June 16, 2008
- Last Update Date
- June 16, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1033 US Highway 46
Clifton, NJ 07013-2473 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-2473
- Phone Number
- 973-779-3911
- Fax Number
- 973-471-2730
Provider Business Mailing Address Details
- Address
- 18 Hook Mountain RD
Pine Brook, NJ 07058-9798 - City
- Pine Brook
- State
- NJ
- Zip
- 07058-9798
- Phone Number
- 973-227-0169
- Fax Number
- 973-227-8942
License Information
- License Number
- 25MA05503100
- License State
- NJ
- Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Laser Skin Therapies At Notchview-Pine Brook, LLC?
The NPI number of Laser Skin Therapies At Notchview-Pine Brook, LLC is 1588824262. It was assigned on June 16, 2008 and is currently active in the NPPES registry.
What is the specialty of Laser Skin Therapies At Notchview-Pine Brook, LLC?
Laser Skin Therapies At Notchview-Pine Brook, LLC is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X), licensed in NJ under license number 25MA05503100.
Where does Laser Skin Therapies At Notchview-Pine Brook, LLC practice?
The practice location is 1033 US Highway 46, Clifton, NJ 07013-2473. The office can be reached at 973-779-3911 (phone) or 973-471-2730 (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 1588824262 directly on the NPPES registry website.