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Organization

BERGEN DERMATOLOGY SPECIALISTS PA

Active
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Organization

BERGEN DERMATOLOGY SPECIALISTS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAPILA PAGHDAL MD (PRESIDENT)
(201) 652-4536
Entity
Organization

Contact information

Practice address
400 ROUTE 17 SOUTH, RIDGEWOOD, NJ 07450
(201) 652-4536
(201) 652-4906
Mailing address
400 ROUTE 17 SOUTH, RIDGEWOOD, NJ 07450
(201) 652-4536
(201) 652-4906

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2619903
NJ
Enumeration date
09/14/2006
Last updated
02/17/2025
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