Organization
NORTHERN OAK DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOSEPH JASTERZBSKI MD (MANAGING MEMBER)
(973) 559-3993
Entity
Organization
Contact information
Practice address
64 US HIGHWAY 46 STE 201, PINE BROOK, NJ 07058-4401
(973) 559-3993
Mailing address
64 US HIGHWAY 46 STE 201, PINE BROOK, NJ 07058-9629
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
04/10/2023
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