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Organization

CENTER FOR DERMATOLOGY AND SKIN SURGERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL WIEDERKEHR (MEDICAL DOCTOR/OWNER)
(201) 857-4200
Entity
Organization

Contact information

Practice address
1 W RIDGEWOOD AVE, SUITE 103, PARAMUS, NJ 07652-2359
(201) 385-1452
Mailing address
1 W RIDGEWOOD AVE STE 103, PARAMUS, NJ 07652-2361

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
10/26/2009
Last updated
04/23/2026
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