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Organization
GARDEN STATE DERMATOLOGY LLC
Active
Organization
GARDEN STATE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREETHI V RAMASWAMY MD (MEMBER)
(617) 314-6567
Entity
Organization
Contact information
Practice address
201 NEW JERSEY 17, FLOOR 11, RUTHERFORD, NJ 07070
(617) 314-6567
Mailing address
7 MALTESE DR, FAIR LAWN, NJ 07410-5815
(617) 314-6567
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA09032700
NJ
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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