Organization
NORTH JERSEY DERMATOLOGY CENTER,P.C.
Active
Parent organization
NORTH JERSEY DERMATOLOGY CENTER , P.C.
Other names
South Jersey Dermatology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH JERSEY DERMATOLOGY CENTER , P.C.
Authorized official
JOSEPH M MASESSA M.D. (PRESIDENT)
(973) 586-7447
Entity
Organization
Contact information
Practice address
601 ROUTE 37 W, SUITE 105, TOMS RIVER, NJ 08755-8050
(973) 586-7447
(973) 586-7445
Mailing address
35 GREEN POND RD, ROCKAWAY, NJ 07866-2013
(973) 586-7447
(973) 586-7445
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MA051828
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MA051828
NJ
207ND0900X
Dermatopathology Physician
MA051828
NJ
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
MA051828
NJ
207NP0225X
Pediatric Dermatology Physician
MA051828
NJ
207NS0135X
Procedural Dermatology Physician
MA051828
NJ
Other
Enumeration date
03/01/2007
Last updated
10/15/2007
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