Organization
THE DERMATOLOGY GROUP
Active
Organization
THE DERMATOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S GROISSER MD (PHYSICIAN ADMINISTRATOR)
(973) 571-2121
Entity
Organization
Contact information
Practice address
347 MOUNT PLEASANT AVE, SUITE 103, WEST ORANGE, NJ 07052-2744
(973) 571-2121
(973) 239-1591
Mailing address
347 MOUNT PLEASANT AVE, SUITE 205, WEST ORANGE, NJ 07052-2744
(973) 571-2121
(973) 239-1591
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
07/15/2006
Last updated
01/07/2011
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