Organization
ADULT & PEDIATRIC DERMATOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART ROSS BITTERMAN M.D. (PRESIDENT)
(718) 544-6650
Entity
Organization
Contact information
Practice address
7734 113TH ST, APT. B, FOREST HILLS, NY 11375-7133
(718) 544-6650
Mailing address
7734 113TH ST, APT. B, FOREST HILLS, NY 11375-7133
(718) 544-6650
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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