Organization
MADISON AVENUE DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA MARIE BEGAN MD (PRESIDENT)
(201) 795-0021
Entity
Organization
Contact information
Practice address
133 MADISON ST, UNIT 1 A, HOBOKEN, NJ 07030-7831
(201) 795-0021
(201) 795-0020
Mailing address
133 MADISON ST, UNIT 1 A, HOBOKEN, NJ 07030-7831
(201) 795-0021
(201) 795-0020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06923300
NJ
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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