Northern Oak Dermatology LLC
NPI #1114675915 in Pine Brook, New Jersey
Provider Information
- NPI Number
- 1114675915
- Entity Type
- Organization
- Organization Name
- Northern Oak Dermatology LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Mar 11, 2022
- Last Updated
- Apr 10, 2023
Practice Location
- Address
- 64 US HIGHWAY 46 STE 201
- City
- Pine Brook
- State
- New Jersey
- ZIP Code
- 07058-4401
- Phone
- (973) 559-3993
Authorized Official
- Name
- THOMAS JOSEPH JASTERZBSKI, MD
- Title
- MANAGING MEMBER
- Phone
- (973) 559-3993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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