# GARDEN STATE DERMATOLOGY LLC

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

## Provider details

- **NPI number:** 1811305444
- **Authorized official:** DR. PREETHI V RAMASWAMY MD (MEMBER)
- **Authorized official phone:** (617) 314-6567

## Contact information

- **Practice address:** 201 NEW JERSEY 17, FLOOR 11, RUTHERFORD, NJ 07070
- **Practice address phone:** (617) 314-6567
- **Mailing address:** 7 MALTESE DR, FAIR LAWN, NJ 07410-5815
- **Mailing address phone:** (617) 314-6567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA09032700 | NJ | Yes |

## Other

- **Enumeration date:** 07/28/2014
- **Last updated:** 07/28/2014