Organization
DERMATOLOGY PHYSICIANS OF SOUTH JERSEY, PA
Active
Parent organization
DERMATOLOGY ASSOCIATES OF SOUTH JERSEY, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DERMATOLOGY ASSOCIATES OF SOUTH JERSEY, LLC.
Authorized official
JOSEPH ANTHONY VELEZ (MANAGER)
(856) 546-8672
Entity
Organization
Contact information
Practice address
150 CENTURY PKWY STE 105, MOUNT LAUREL, NJ 08054-1129
(856) 206-0201
Mailing address
112 WHITE HORSE PIKE, RT. 30, HADDON HEIGHTS, NJ 08035-1908
(856) 546-8672
(856) 546-5315
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
NJ
Other
Enumeration date
01/02/2007
Last updated
12/16/2020
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