Organization
LASER & SKIN THERAPEUTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M. COPPA M.D. (OWNER)
(973) 635-5050
Entity
Organization
Contact information
Practice address
33 MAIN ST, SUITE 103, CHATHAM, NJ 07928-2433
(973) 635-5050
(973) 635-4567
Mailing address
33 MAIN ST, SUITE 103, CHATHAM, NJ 07928-2433
(973) 635-5050
(973) 635-4567
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA07719400
NJ
Other
Enumeration date
08/29/2007
Last updated
10/17/2007
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