New Age Dermatology INC
NPI #1962586586 in West Palm Beach, Florida
Provider Information
- NPI Number
- 1962586586
- Entity Type
- Organization
- Organization Name
- New Age Dermatology INC
- Primary Specialty
- Dermatology
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Sep 27, 2012
Practice Location
- Address
- 1411 N FLAGLER DR
- Address 2
- SUITE 3900
- City
- West Palm Beach
- State
- Florida
- ZIP Code
- 33401-3404
- Phone
- (561) 805-9399
Authorized Official
- Name
- SUPRIYA TOMAR, MD
- Title
- OWNER
- Phone
- (561) 805-9399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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