Organization
COSMEDICAL DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE L CAUWENBERGHS (DERMATOLOGY COORDINATOR)
(201) 265-1300
Entity
Organization
Contact information
Practice address
351 EVELYN ST, PARAMUS, NJ 07652-2901
(201) 265-1300
(201) 265-3737
Mailing address
351 EVELYN ST, PARAMUS, NJ 07652-2901
(201) 265-1300
(201) 265-3737
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06657800
NJ
Other
Enumeration date
03/20/2015
Last updated
03/30/2015
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