Center for Dermatology and Skin Surgery LLC
NPI #1194051243 in Paramus, New Jersey
Provider Information
- NPI Number
- 1194051243
- Entity Type
- Organization
- Organization Name
- Center for Dermatology and Skin Surgery LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Oct 26, 2009
- Last Updated
- Feb 10, 2010
Practice Location
- Address
- 1 W RIDGEWOOD AVE
- Address 2
- SUITE 103
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-2359
- Phone
- (201) 385-1452
Authorized Official
- Name
- DR. MICHAEL WIEDERKEHR, M.D.
- Title
- OWNER
- Phone
- (201) 385-1452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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