Organization
AESTHETIC DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA D ELDER MD (PHYSICIAN)
(856) 596-3393
Entity
Organization
Contact information
Practice address
771 E ROUTE 70, SUITE D150, MARLTON, NJ 08053-2352
(856) 596-3393
(856) 596-3394
Mailing address
771 E ROUTE 70, SUITE D150, MARLTON, NJ 08053-2352
(856) 596-3393
(856) 596-3394
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA53938
NJ
Other
Enumeration date
12/05/2006
Last updated
08/21/2013
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