Organization
IMAGE DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANINE B. DOWNIE M.D. (OWNER)
(973) 509-6900
Entity
Organization
Contact information
Practice address
51 PARK ST, MONTCLAIR, NJ 07042-3439
(973) 509-6900
(973) 509-6939
Mailing address
51 PARK ST, MONTCLAIR, NJ 07042-3439
(973) 509-6900
(973) 509-6939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA65931
NJ
Other
Enumeration date
05/31/2007
Last updated
01/24/2008
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