Organization
WARREN SKIN CARE CENTER PA
Active
Organization
WARREN SKIN CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIAN JIE LI MD (CEO)
(908) 387-1001
Entity
Organization
Contact information
Practice address
755 MEMORIAL PKWY, BLDG 204, PHILLIPSBURG, NJ 08865-2748
(908) 387-1001
(908) 387-1195
Mailing address
PO BOX 5118, PHILLIPSBURG, NJ 08865-2748
(908) 387-1001
(908) 387-1195
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA66021
NJ
Other
Enumeration date
08/21/2006
Last updated
12/17/2007
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