Organization · Type 2 NPI

Image Dermatology PC

Specialist · Montclair, NJ

NPI number 1104027556 Active

Practice location

51 Park St
Montclair, NJ 07042-3439

Call (973) 509-6900 Map

Fax (973) 509-6939

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA65931 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104027556

Image Dermatology PC's National Provider Identifier is 1104027556, issued on May 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Montclair, NJ. The record was last updated on Jan 24, 2008.