Advanced Dermatology of New Jersey PC

NPI #1225362783 in Ridgewood, New Jersey

Provider Information

NPI Number: 1225362783
Entity Type: Organization
Organization Name: Advanced Dermatology of New Jersey PC
Primary Specialty: Dermatology - Procedural Dermatology
Enumeration Date: Sep 30, 2009
Last Updated: Sep 30, 2009

Practice Location

Address: 1200 E RIDGEWOOD AVE
City: Ridgewood
State: New Jersey
ZIP Code: 07450-3957
Phone: (201) 493-1717

Authorized Official

Name: DR. JOSHUA L FOX, MD
Title: MEDICAL DIRECTOR
Phone: (516) 326-4160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X	Primary

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