Organization
ADVANCED DERMATOLOGY, P.C.
Active
Organization
ADVANCED DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEHUA LI MD (PRESIDENT)
(856) 256-8899
Entity
Organization
Contact information
Practice address
570 EGG HARBOR RD STE C1, SEWELL, NJ 08080-2359
(856) 256-8899
(856) 256-8868
Mailing address
570 EGG HARBOR RD, SUITE C-1, SEWELL, NJ 08080-2359
(856) 256-8899
(856) 256-8868
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA07893300
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
25MA07893300
NJ
207ND0900X
Dermatopathology Physician
25MA07893300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124109913
NPI
—
01
—
31D1078763
CLIA
—
Enumeration date
10/18/2006
Last updated
08/03/2025
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