Active NPIOrganization

Dermatology & Laser Surgery Ctr

Dermatology in Fort Lee, New Jersey

NPI Number1780937045
Practice location
2125 Center Ave, Suite 200, Fort Lee, NJ 07024-5859
Fax
201-461-1181
Last updated
October 17, 2013

Dermatology & Laser Surgery Ctr is a healthcare organization based in Fort Lee, NJ. Dermatology & Laser Surgery Ctr practices in Fort Lee, NJ. The NPI Number for Dermatology & Laser Surgery Ctr is 1780937045 and holds a License No. 65361 (NJ). The current practice location address for Dermatology & Laser Surgery Ctr is 2125 Center Ave, Suite 200, Fort Lee, NJ 07024-5859 and can be reached out via phone at 201-461-5655 and via fax at 201-461-1181.

Provider Profile Details

NPI Number
1780937045
Provider Name
Dermatology & Laser Surgery Ctr
Provider Entity Type
Organization
Address
2125 Center Ave, Suite 200, Fort Lee, NJ 07024-5859
Phone Number
201-461-5655
Fax Number
201-461-1181
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Dr. Olga Goulko, MD · Medical Doctor · 201-461-5655
Provider Enumeration Date
October 23, 2012
Last Update Date
October 17, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
2125 Center Ave
Suite 200
Fort Lee, NJ 07024-5859
Zip
07024-5859
Phone Number
201-461-5655
Fax Number
201-461-1181
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2125 Center Ave
Suite 200
Fort Lee, NJ 07024-5859
City
Fort Lee
State
NJ
Zip
07024-5859
Phone Number
201-461-5655
Fax Number
201-461-1181

License Information

License Number
65361
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 Dermatology & Laser Surgery Ctr?

The NPI number of Dermatology & Laser Surgery Ctr is 1780937045. It was assigned on October 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Dermatology & Laser Surgery Ctr?

Dermatology & Laser Surgery Ctr is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 65361.

Where does Dermatology & Laser Surgery Ctr practice?

The practice location is 2125 Center Ave, Suite 200, Fort Lee, NJ 07024-5859. The office can be reached at 201-461-5655 (phone) or 201-461-1181 (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 1780937045 directly on the NPPES registry website.

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