Organization
INTEGRATED DERMATOLOGY OF ROSEVILLE, PC
Active
Other names
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Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER T HALEY MD (AUTHORIZED GROUP OFFICIAL)
(561) 314-2000
Entity
Organization
Contact information
Practice address
1412 BLUE OAKS BLVD, ROSEVILLE, CA 95747-7143
(916) 784-7546
(916) 784-7548
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
06/02/2021
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