Organization
BAY DERMATOLOGY PC
Active
Organization
BAY DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAL THOMAS LAFORGIA MD, PHD (SHAREHOLDER)
(732) 557-9300
Entity
Organization
Contact information
Practice address
780 ROUTE 37 W STE 235, TOMS RIVER, NJ 08755-5065
(732) 557-9300
(732) 557-9010
Mailing address
780 ROUTE 37 W STE 235, TOMS RIVER, NJ 08755-5065
(732) 557-9300
(732) 557-9010
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/14/2009
Last updated
10/08/2015
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