Organization
NJ CERTIFIED DERMATOLOGY PC
Active
Organization
NJ CERTIFIED DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE L ANDERSON MD (OWNER)
(903) 521-6143
Entity
Organization
Contact information
Practice address
26 HIGHWAY 35 N, NEPTUNE, NJ 07753-4743
(732) 456-7777
(732) 797-9110
Mailing address
1580 LAKEWOOD RD, UNIT 16, TOMS RIVER, NJ 08755-3287
(732) 456-7777
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0579912
—
NJ
01
—
517245
MEDICARE PTAN
NJ
Enumeration date
05/21/2016
Last updated
12/04/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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