Organization
K. NEENA CHIMA, MD, LLC
Active
Other names
Corederm Dermatology & Cosmetic Center
Organization subpart
No
Provider details
NPI number
Authorized official
K. NEENA CHIMA MD (OWNER)
(973) 616-7117
Entity
Organization
Contact information
Practice address
246 HAMBURG TPKE, SUITE 306, WAYNE, NJ 07470-2156
(973) 956-0500
(973) 956-0522
Mailing address
246 HAMBURG TPKE, SUITE 306, WAYNE, NJ 07470-2156
(973) 956-0500
(973) 956-0522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107610
MEDICARE PTAN
NJ
Enumeration date
09/25/2006
Last updated
08/19/2010
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