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COSULICH DERMATOLOGY LLC NPI 1427333632


NPI Information

NPI: 1427333632
Provider Name: COSULICH DERMATOLOGY LLC
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 31D0880615

Address:
3350 HIGHWAY 138
BUILDING 2 SUITE 122
WALL TOWNSHIP, NJ
ZIP 07719
Phone: (732) 280-1200
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COSULICH DERMATOLOGY LLC is a dermatology in Wall Township, NJ. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. COSULICH DERMATOLOGY LLC NPI is 1427333632. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3350 HIGHWAY 138
BUILDING 2 SUITE 122
WALL TOWNSHIP, NJ
ZIP 07719-693
Phone: (732) 280-1200
Fax: (732) 280-1207

The provider's authorized official is Michael Cosulich .
The authorized official title is Owner and has the following contact phone number (732) 280-1200.

The CLIA number assigned to this NPI record is 31D0880615 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/19/2011 and was last updated on 6/7/2021.


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
1207N00000XDermatology25MA04679500NEW JERSEYYes
2207ND0101XDermatologyMOHS-Micrographic Surgery25MA04679500NEW JERSEYNo

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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