Organization
NEXDERM
Active
Organization
NEXDERM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN RILEY FNP (OWNER)
(347) 413-0977
Entity
Organization
Contact information
Practice address
623 RIVER RD, FAIR HAVEN, NJ 07704-3200
(347) 413-0977
Mailing address
623 RIVER RD, FAIR HAVEN, NJ 07704-3200
(347) 413-0977
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
02/11/2025
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