Organization
FAMILY SKIN CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAMARIA NEWPORT DMS, MHS, PAC (OWNER)
(856) 340-9128
Entity
Organization
Contact information
Practice address
17 WHITE HORSE PIKE SUITE 10B, HADDON HEIGHT, NJ 08035
(856) 340-9128
Mailing address
747 WESTFIELD RD, MORRESTOWN, NJ 08057
(856) 340-9128
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MP00229400
NJ
Other
Enumeration date
09/04/2017
Last updated
06/16/2018
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