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Individual

DR. MORDECHAI M TARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
456 CHESTNUT ST, SUITE 201, LAKEWOOD, NJ 08701-6124
(732) 905-9200
(732) 905-4470
Mailing address
456 CHESTNUT ST, SUITE 201, LAKEWOOD, NJ 08701-6124
(732) 905-9200
(732) 905-4470

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA07911600
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
25MA07911600
NJ
207ND0900X
Dermatopathology Physician
25MA07911600
NJ
207NP0225X
Pediatric Dermatology Physician
25MA07911600
NJ
207NS0135X
Procedural Dermatology Physician
25MA07911600
NJ

Other

Enumeration date
05/01/2006
Last updated
01/26/2017
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