Organization
FAMILY DERMATOLOGY OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M. NELSON MD (OWNER)
(732) 637-9982
Entity
Organization
Contact information
Practice address
901 W MAIN ST, SUITE 201, FREEHOLD, NJ 07728-2537
(732) 637-9982
(215) 383-0114
Mailing address
40 MORRIS AVE, SUITE 150, BRYN MAWR, PA 19010-3300
(215) 519-5487
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
—
NJ
207ND0900X
Dermatopathology Physician
—
NJ
Other
Enumeration date
10/13/2010
Last updated
05/02/2012
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