Organization
COSULICH DERMATOLOGY 2 LLC
Active
Other names
Cosulich Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
SHIAOCHUNG SHEN (PRACTICE MANAGER)
(732) 280-1200
Entity
Organization
Contact information
Practice address
3350 HIGHWAY 138 BLDG 2, WALL TOWNSHIP, NJ 07719-9693
(732) 280-1207
(732) 280-1207
Mailing address
3350 HIGHWAY 138 BLDG 2, WALL TOWNSHIP, NJ 07719-9693
(732) 280-1200
(732) 280-1207
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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