Organization
MEDICAL LASER SKIN CARE CENTER OF NEW JERSEY LLC
Active
Other names
David M. Zeidwerg, D.O., LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M. ZEIDWERG D.O. (SOLE MEMBER/PRESIDENT)
(732) 254-6400
Entity
Organization
Contact information
Practice address
465 CRANBURY RD STE 203, EAST BRUNSWICK, NJ 08816-7600
(732) 254-6400
Mailing address
465 CRANBURY RD STE 203, EAST BRUNSWICK, NJ 08816-7600
(732) 254-6400
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MB05655300
NJ
Other
Enumeration date
11/12/2010
Last updated
11/18/2010
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