Organization
NEW AGE DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUPRIYA TOMAR MD (OWNER)
(561) 805-9399
Entity
Organization
Contact information
Practice address
1411 N FLAGLER DR, SUITE 3900, WEST PALM BEACH, FL 33401-3404
(561) 805-9399
(561) 805-9866
Mailing address
1411 N FLAGLER DR, SUITE 3900, WEST PALM BEACH, FL 33401-3404
(561) 805-9399
(561) 805-9866
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
09/27/2012
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