Image Dermatology PC

NPI #1104027556 in Montclair, New Jersey

Provider Information

NPI Number
1104027556
Entity Type
Organization
Organization Name
Image Dermatology PC
Primary Specialty
Specialist
Enumeration Date
May 31, 2007
Last Updated
Jan 24, 2008

Practice Location

Address
51 PARK ST
ZIP Code
07042-3439
Phone
(973) 509-6900

Authorized Official

Name
DR. JEANINE B. DOWNIE, M.D.
Title
OWNER
Phone
(973) 509-6900

Specialties & Taxonomy Codes

Specialty
Specialist

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