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Organization

ALFRED S NEMLICK, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALFRED S NEMLICK M.D. (PHYSICIAN)
(973) 746-1355
Entity
Organization

Contact information

Practice address
345 CLAREMONT AVE, SUITE 15, MONTCLAIR, NJ 07042-1872
(973) 746-1355
(973) 746-6224
Mailing address
345 CLAREMONT AVE, SUITE 15, MONTCLAIR, NJ 07042-1872
(973) 746-1355
(973) 746-6224

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA01714300
NJ
207NS0135X
Procedural Dermatology Physician
25MA01714300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MA01714300
MEDICAL LICENSE
NJ
Enumeration date
05/28/2006
Last updated
03/07/2023
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