# A & A DERMATOLOGY ASSOCIATE PA

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

## Provider details

- **NPI number:** 1770913634
- **Authorized official:** L. ROBERT SMITH M.D. (OWNER)
- **Authorized official phone:** (856) 691-1737

## Contact information

- **Practice address:** 1176 KARIN ST, VINELAND, NJ 08360-4209
- **Practice address phone:** (856) 691-1737
- **Mailing address:** 1176 KARIN ST, VINELAND, NJ 08360-4209
- **Mailing address phone:** (856) 691-1737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA03230500 | NJ | Yes |

## Other

- **Enumeration date:** 11/13/2013
- **Last updated:** 03/27/2014
