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Englewood Dermatology Center
Preferred Provider Organization in Englewood, New Jersey
NPI 1588930663

Englewood Dermatology Center is a Preferred Provider Organization based in Englewood, NJ. Englewood Dermatology Center practices in Englewood, NJ. The NPI Number for Englewood Dermatology Center is 1588930663 and holds a License No. 207N00000X (New Jersey).

The current practice location address for Englewood Dermatology Center is 300 Grand Ave, Englewood, NJ and can be reached out via phone at 201-569-5151 and via fax at 201-569-9193.

Location: 300 Grand Ave, Englewood, NJ, 07631-4398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588930663
Provider Name
Englewood Dermatology Center
Credential
Provider Entity Type
Organization
Address
300 Grand Ave, Englewood, NJ, 07631-4398
Phone Number
201-569-5151
Fax Number
201-569-9193
Provider Enumeration Date
03/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316145329 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
300 Grand Ave
City
Englewood
State
New Jersey
Zip
07631-4398
Phone Number
201-569-5151
Fax Number
201-569-9193
person
Provider Business Mailing Address Details
Address
300 Grand Ave
City
Englewood
State
New Jersey
Zip
07631-4398
Phone Number
201-569-5151
Fax Number
201-569-9193
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
207N00000X (New Jersey)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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