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Garden State Dermatology Llc
Medical Specialty Clinic/Center in Rutherford, New Jersey
NPI 1811305444

Garden State Dermatology Llc is a Medical Specialty Clinic/Center based in Fair Lawn, NJ and is specialized in Medical Specialty. Garden State Dermatology Llc practices in Rutherford, NJ. The NPI Number for Garden State Dermatology Llc is 1811305444 and holds a License No. 25MA09032700 (New Jersey).

The current practice location address for Garden State Dermatology Llc is 201 New Jersey 17, Rutherford, NJ and can be reached out via phone at 617-314-6567.

Location: 201 New Jersey 17, Rutherford, NJ, 07410-5815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811305444
Provider Name
Garden State Dermatology Llc
Credential
Provider Entity Type
Organization
Address
201 New Jersey 17, Rutherford, NJ, 07410-5815
Phone Number
617-314-6567
Fax Number
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 New Jersey 17
City
Rutherford
State
New Jersey
Zip
07070
Phone Number
617-314-6567
Fax Number
person
Provider Business Mailing Address Details
Address
201 New Jersey 17
City
Rutherford
State
New Jersey
Zip
07070
Phone Number
617-314-6567
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
25MA09032700 (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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