Organization
SOUTH JERSEY DERMATOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOOTH H DURHAM M.D. (PRESIDENT)
(856) 227-7488
Entity
Organization
Contact information
Practice address
900 ROUTE 168, F6, TURNERSVILLE, NJ 08012-3233
(856) 227-7488
(856) 228-3476
Mailing address
900 ROUTE 168, F6, TURNERSVILLE, NJ 08012-3233
(856) 227-7488
(856) 228-3476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03237000
NJ
Other
Enumeration date
03/09/2006
Last updated
04/06/2010
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