Organization
CENTER FOR DERMATOLOGIC CARE, LLC
Active
Organization
CENTER FOR DERMATOLOGIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FORREST P RESNIKOFF MD (PRESIDENT)
(732) 542-6300
Entity
Organization
Contact information
Practice address
170 AVENUE AT THE COMMON, SUITE 2, SHREWSBURY, NJ 07702-4803
(732) 542-6300
(732) 542-6392
Mailing address
170 AVENUE AT THE COMMON, SUITE 2, SHREWSBURY, NJ 07702-4803
(732) 542-6300
(732) 542-6392
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA050827
NJ
Other
Enumeration date
05/29/2007
Last updated
02/02/2017
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