Organization
LASER SKIN THERAPIES AT NOTCHVIEW-PINE BROOK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MEDITERRANEO MD (MEMBER)
(973) 227-0169
Entity
Organization
Contact information
Practice address
1033 US HIGHWAY 46, CLIFTON, NJ 07013-2473
(973) 779-3911
(973) 471-2730
Mailing address
18 HOOK MOUNTAIN RD, PINE BROOK, NJ 07058-9798
(973) 227-0169
(973) 227-8942
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA05503100
NJ
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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