# LASER SKIN THERAPIES AT NOTCHVIEW-PINE BROOK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588824262
- **Authorized official:** DR. SUSAN MEDITERRANEO MD (MEMBER)
- **Authorized official phone:** (973) 227-0169

## Contact information

- **Practice address:** 1033 US HIGHWAY 46, CLIFTON, NJ 07013-2473
- **Practice address phone:** (973) 779-3911
- **Practice address fax:** (973) 471-2730
- **Mailing address:** 18 HOOK MOUNTAIN RD, PINE BROOK, NJ 07058-9798
- **Mailing address phone:** (973) 227-0169
- **Mailing address fax:** (973) 227-8942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA05503100 | NJ | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 06/16/2008