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DERMATOLOGY PHYSICIANS OF SOUTH JERSEY PA NPI 1124185004


NPI Information

NPI: 1124185004
Provider Name: DERMATOLOGY PHYSICIANS OF SOUTH JERSEY, PA
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 31D0695812

Address:
150 CENTURY PKWY STE 105
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 206-0201
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DERMATOLOGY PHYSICIANS OF SOUTH JERSEY, PA 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 PHYSICIANS OF SOUTH JERSEY, PA NPI is 1124185004. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 CENTURY PKWY STE 105
MOUNT LAUREL, NJ
ZIP 08054-129
Phone: (856) 206-0201

The provider's authorized official is Joseph Anthony Velez .
The authorized official title is Manager and has the following contact phone number (856) 546-8672.

The CLIA number assigned to this NPI record is 31D0695812 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 12/16/2020.


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
1207ND0900XDermatologyDermatopathologyNEW 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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