Dermatology Associates of South Jersey, L.l.c.
NPI #1699960096 in Mount Laurel, New Jersey
Provider Information
- NPI Number
- 1699960096
- Entity Type
- Organization
- Organization Name
- Dermatology Associates of South Jersey, L.l.c.
- Primary Specialty
- Dermatology - Dermatopathology
- Enumeration Date
- Sep 9, 2007
- Last Updated
- Dec 4, 2020
Practice Location
- Address
- 150 CENTURY PKWY STE 150
- City
- Mount Laurel
- State
- New Jersey
- ZIP Code
- 08054-1129
- Phone
- (856) 206-0201
Authorized Official
- Name
- DR. CARRIE ANN RISHKO CUSACK, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (856) 206-0201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Dermatopathology — Dermatopathology |
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