Organization
FAMILY DERMATOLOGY OF NEW JERSEY PC
Active
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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