MADISON AVENUE DERMATOLOGY LLC NPI 1518015379

NPI Information

MADISON AVENUE DERMATOLOGY, LLC is a specialist in Hoboken, NJ. The provider is 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. MADISON AVENUE DERMATOLOGY, LLC NPI is 1518015379. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

133 MADISON ST
UNIT 1 A
HOBOKEN, NJ
ZIP 07030-831
Phone: (201) 795-0021
Fax: (201) 795-0020

The provider's authorized official is Dina Marie Began .
The authorized official title is President and has the following contact phone number (201) 795-0021.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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