Organization
ADVANCED DERMATOLOGY OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA L FOX MD (MEDICAL DIRECTOR)
(516) 326-4160
Entity
Organization
Contact information
Practice address
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3957
(201) 493-1717
Mailing address
6 LOWELL AVE, NEW HYDE PARK, NY 11040-2810
(516) 326-4160
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
25MA04771900
NJ
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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