Organization
EPIPHANY DERMATOLOGY OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHEORGHE PUSTA (SECRETARY)
(512) 628-0465
Entity
Organization
Contact information
Practice address
1200 ROUTE 22 E., BRIDGEWATER, NJ 08807-2943
(973) 267-0300
Mailing address
7300 RANCH ROAD 2222, BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 628-0465
(512) 233-2711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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