Organization
DERMATOLOGY ASSOCIATES OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUERRA N.P. (PRACTITIONER)
(918) 492-6333
Entity
Organization
Contact information
Practice address
40 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2576
(732) 679-0222
Mailing address
40 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2576
(732) 679-0222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
02/19/2015
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