Organization
CLARK DERMATOLOGY, LLC
Active
Other names
Metropolitan Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER DOCTOROFF D.O (OWNER)
(732) 574-1399
Entity
Organization
Contact information
Practice address
1324 VICTORY BLVD, STATEN ISLAND, NY 10301-3917
(718) 448-4488
Mailing address
469 MORRIS AVE STE 3, ELIZABETH, NJ 07208-2904
(732) 574-1399
(908) 512-7300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
02/22/2016
Last updated
05/05/2025
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