Organization
FAMILY DERMATOLOGY, LLC
Active
Organization
FAMILY DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ANTHONY CARBONARO MD (PRESIDENT)
(856) 232-7500
Entity
Organization
Contact information
Practice address
900 ROUTE 168, SUITE F5, TURNERSVILLE, NJ 08012-3233
(856) 232-7500
(856) 232-7506
Mailing address
900 ROUTE 168, SUITE F5, TURNERSVILLE, NJ 08012-3233
(856) 232-7500
(856) 232-7506
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2619702
—
NJ
Enumeration date
07/11/2006
Last updated
09/18/2007
Update your record
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