Alta Dermatology & Skin Care Center, Llc

NPI 1073729018 - Clinic/Center - 261Q00000X

NPI Details
NPI 1073729018
Enumeration Date 05/15/2007
Last Updated 04/29/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID HAL DAVID
Position OWNER
Phone (856) 344-2849
Fax (856) 344-2938
Practice Location
701 COOPER RD
SUITE #13
VOORHEES NJ, 08043-3800, US
Phone (856) 344-2849
Fax (856) 344-2938
Business Location
701 COOPER RD
SUITE #13
VOORHEES NJ, 08043-3800, US
Phone (856) 344-2849
Fax (856) 344-2938
Toxanomy
Taxonomy Code 261Q00000X
License State New Jersey
License Number MA068924
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According to our database, Alta Dermatology & Skin Care Center, Llc NPI is 1073729018, taxonomy code is 261Q00000X and license number is MA068924, license state is located at New Jersey. Alta Dermatology & Skin Care Center, Llc physically located at 701 Cooper Rd, Voorhees NJ, 08043-3800. NPI Number 1033115704 has the healthcare provider type.

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1073729018 NPI number is provided on an as is basis without warranty of any kind. 1073729018 is maintained by the National Plan & Provider Enumeration System. The contents of Alta Dermatology & Skin Care Center, Llc are for informational purposes only.