Organization
AMERICAN SKIN AND CANCER CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAR K RAO M.D (OWNER)
(559) 446-1070
Entity
Organization
Contact information
Practice address
25 1ST AVE STE 113, ATLANTIC HIGHLANDS, NJ 07716-1285
(559) 446-1070
(877) 300-7092
Mailing address
25 1ST AVE, SUITE 113, ATLANTIC HIGHLANDS, NJ 07716-1284
(559) 446-1070
(877) 300-7092
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
25MA07004000
NJ
207ND0900X
Dermatopathology Physician
25MA07004000
NJ
207NS0135X
Procedural Dermatology Physician
Primary
25MA07004000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07004000
MEDICAL LICENCE NUMBER
NJ
Enumeration date
11/16/2007
Last updated
09/28/2009
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