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Organization

DERMATOLOGY AND SKIN SURGERY CENTER, PROFESSIONAL ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID ADAM KIKEN M.D. (OWNER)
(973) 301-9500
Entity
Organization

Contact information

Practice address
220 RIDGEDALE AVE, SUITE A3, FLORHAM PARK, NJ 07932-1348
(973) 301-9500
(973) 301-0435
Mailing address
220 RIDGEDALE AVE, SUITE A3, FLORHAM PARK, NJ 07932-1348
(973) 301-9500
(973) 301-0435

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
233992-1
NY
207N00000X
Dermatology Physician
A89501
CA
207NS0135X
Procedural Dermatology Physician
Primary
25MA0837050
NJ

Other

Enumeration date
08/20/2009
Last updated
10/12/2009
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