Organization
ASSOCIATES IN DERMATOLOGY AND COSMETIC SURGERY-THE MILLBURN LASER CENT
Active
Organization
ASSOCIATES IN DERMATOLOGY AND COSMETIC SURGERY-THE MILLBURN LASER CENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SCOTT SIEGEL (OWNER)
(973) 376-8500
Entity
Organization
Contact information
Practice address
73 SPRING ST RM 303, NEW YORK, NY 10012-5801
(646) 906-9614
Mailing address
73 SPRING ST RM 303, NEW YORK, NY 10012-5801
(646) 906-9614
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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