Organization
NJ CERTIFIED DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMI E GEFFNER (MD/OWNER)
(732) 456-7777
Entity
Organization
Contact information
Practice address
670 BROADWAY, BAYONNE, NJ 07002-4726
(732) 456-7777
(848) 251-2189
Mailing address
1580 LAKEWOOD RD STE 16, TOMS RIVER, NJ 08755-3287
(732) 456-7777
(848) 251-2189
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0579912
—
NJ
01
—
512734
MEDICARE PTAN
NJ
Enumeration date
12/08/2017
Last updated
08/04/2021
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