# CHOICE DERMATOLOGY LLC

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

## Provider details

- **NPI number:** 1669747432
- **Authorized official:** DR. MARC C MEULENER MD, PHD (FOUNDER)
- **Authorized official phone:** (908) 285-3301

## Contact information

- **Practice address:** 12 RIDGE ST, BASKING RIDGE, NJ 07920-1785
- **Practice address phone:** (908) 285-3301
- **Mailing address:** 768 SPRINGFIELD AVE, APT. E7, SUMMIT, NJ 07901-2340
- **Mailing address phone:** (908) 285-3301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA09007000 | NJ | Yes |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012