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Organization
CHOICE DERMATOLOGY LLC
Active
Organization
CHOICE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC C MEULENER MD, PHD (FOUNDER)
(908) 285-3301
Entity
Organization
Contact information
Practice address
12 RIDGE ST, BASKING RIDGE, NJ 07920-1785
(908) 285-3301
Mailing address
768 SPRINGFIELD AVE, APT. E7, SUMMIT, NJ 07901-2340
(908) 285-3301
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA09007000
NJ
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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