Advanced Dermatology Surgery Center
NPI #1144657164 in Tinton Falls, New Jersey
Provider Information
- NPI Number
- 1144657164
- Entity Type
- Organization
- Organization Name
- Advanced Dermatology Surgery Center
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Oct 4, 2013
- Last Updated
- May 5, 2015
Practice Location
- Address
- 4 HARTFORD DR
- Address 2
- SUITE 3
- City
- Tinton Falls
- State
- New Jersey
- ZIP Code
- 07701-4929
- Phone
- (732) 933-8500
Authorized Official
- Name
- DR. GLENN KOLANSKY, MD
- Title
- OWNER
- Phone
- (732) 933-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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