Organization
SOMA SKIN & LASER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EHRENREICH M.D. (MEMBER)
(973) 763-7546
Entity
Organization
Contact information
Practice address
90 MILLBURN AVE, SUITE 206, MILLBURN, NJ 07041-1945
(973) 763-7546
Mailing address
71 S ORANGE AVE, SUITE 206, SOUTH ORANGE, NJ 07079-1715
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA08503900
NJ
Other
Enumeration date
07/28/2010
Last updated
05/22/2012
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