Organization
NJ CERTIFIED DERMATOLOGY PC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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