Organization
DERMATOLOGY INSTITUTE AND LASER CENTER
Active
Organization
DERMATOLOGY INSTITUTE AND LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIANA O ROS DO (OWNER)
(973) 472-1000
Entity
Organization
Contact information
Practice address
1100 CLIFTON AVE, CLIFTON, NJ 07013
(973) 472-1000
Mailing address
1100 CLIFTON AVE, CLIFTON, NJ 07013
(973) 472-1000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB08665600
NJ
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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