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Choice Dermatology Llc
Medical Specialty Clinic/Center in Basking Ridge, New Jersey
NPI 1669747432

Choice Dermatology Llc is a Medical Specialty Clinic/Center based in Summit, NJ and is specialized in Medical Specialty. Choice Dermatology Llc practices in Basking Ridge, NJ. The NPI Number for Choice Dermatology Llc is 1669747432 and holds a License No. 25MA09007000 (New Jersey).

The current practice location address for Choice Dermatology Llc is 12 Ridge St, Basking Ridge, NJ and can be reached out via phone at 908-285-3301.

Location: 12 Ridge St, Basking Ridge, NJ, 07901-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669747432
Provider Name
Choice Dermatology Llc
Credential
Provider Entity Type
Organization
Address
12 Ridge St, Basking Ridge, NJ, 07901-2340
Phone Number
908-285-3301
Fax Number
Provider Enumeration Date
03/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0400465583 01 NJ NJ BUSINESS IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
12 Ridge St
City
Basking Ridge
State
New Jersey
Zip
07920-1785
Phone Number
908-285-3301
Fax Number
person
Provider Business Mailing Address Details
Address
12 Ridge St
City
Basking Ridge
State
New Jersey
Zip
07920-1785
Phone Number
908-285-3301
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
25MA09007000 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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