Organization
TZU DERMATOLOGY, P.C.
Active
Other names
Wall Street Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA TZU M.D. (MEDICAL DIRECTOR)
(212) 931-0538
Entity
Organization
Contact information
Practice address
65 BROADWAY STE 904, NEW YORK, NY 10006-2523
(212) 931-0538
(212) 430-3797
Mailing address
65 BROADWAY, 904, NEW YORK, NY 10006-2523
(212) 931-0538
(212) 430-3797
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
256102
NY
207ND0101X
MOHS-Micrographic Surgery Physician
256012
NY
207ND0900X
Dermatopathology Physician
256102
NY
207NS0135X
Procedural Dermatology Physician
Primary
256102
NY
Other
Enumeration date
04/09/2014
Last updated
07/23/2019
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