Dmitry Khasak MD PC INC

NPI #1679835946 in Jersey City, New Jersey

Provider Information

NPI Number
1679835946
Entity Type
Organization
Organization Name
Dmitry Khasak MD PC INC
Primary Specialty
Dermatology
Enumeration Date
Jun 13, 2012
Last Updated
Jun 13, 2012

Practice Location

Address
100 PAVONIA AVE STE 409
ZIP Code
07310-2778
Phone
(201) 626-4040

Authorized Official

Name
MR. EUGENE GERLANTS
Title
MANAGER
Phone
(201) 889-7047

Specialties & Taxonomy Codes

Specialty
Dermatology

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