Organization
PREMIER DERMATOLOGY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEE MD (OWNER)
(201) 888-1177
Entity
Organization
Contact information
Practice address
3 PLAZA DR STE 17, TOMS RIVER, NJ 08757-3765
(732) 934-4141
(732) 442-8886
Mailing address
3 PLAZA DR STE 17, TOMS RIVER, NJ 08757-3765
(732) 934-4141
(732) 442-8886
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
03/21/2022
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