Advanced Dermatology of New Jersey PC

Organization Procedural Dermatology Physician · NPI 1225362783

Advanced Dermatology of New Jersey PC provides Procedural Dermatology Physician services in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in: NJ
In the registry since: 2009

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957 Not confirmed with CMS for 17 years — call before visiting
Phone: (201) 493-1717

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary)	Taxonomy 207NS0135X · Licence 25MA04771900 (NJ)

Record details

NPI number	1225362783
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Joshua Fox — Medical Director · (516) 326-4160
NPI enumerated	September 30, 2009
Last updated in NPPES	September 30, 2009
Mailing address	6 Lowell Ave, New Hyde Park, NY 11040-2810