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DERMATOLOGY ASSOCIATES OF SOUTH JERSEY L.L.C. NPI 1699960096


NPI Information

NPI: 1699960096
Provider Name: DERMATOLOGY ASSOCIATES OF SOUTH JERSEY, L.L.C.
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
150 CENTURY PKWY STE 150
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 206-0201
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DERMATOLOGY ASSOCIATES OF SOUTH JERSEY, L.L.C. is a dermatopathology dermatology in Mount Laurel, NJ. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. DERMATOLOGY ASSOCIATES OF SOUTH JERSEY, L.L.C. NPI is 1699960096. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

150 CENTURY PKWY STE 150
MOUNT LAUREL, NJ
ZIP 08054-129
Phone: (856) 206-0201
Fax: (856) 206-0209

The provider's authorized official is Carrie Ann Rishko Cusack .
The authorized official title is Physician/owner and has the following contact phone number (856) 206-0201.

The enumeration date for this NPI number is 9/9/2007 and was last updated on 12/4/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathology25MA07815500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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