South Jersey Dermatology Associates, Pa in Turnersville - Specialist
South Jersey Dermatology Associates, Pa - NPI 1710955323
South Jersey Dermatology Associates, Pa is a Specialist in Turnersville, New Jersey. South Jersey Dermatology Associates, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Jersey Dermatology Associates, Pa is 1710955323. The last update date is 2010-04-06.
South Jersey Dermatology Associates, Pa's current location address is 900 Route 168, Turnersville, New Jersey. You can contact this provider via phone number 8562277488 and fax number 8562283476. The mailing address for South Jersey Dermatology Associates, Pa is 900 Route 168, Turnersville, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Jersey Dermatology Associates, Pa |
|---|---|
| Address | 900 Route 168, Turnersville, New Jersey |
| Phone Number | 8562277488 |
| Fax Number | 8562283476 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Durham H Booth |
| Credentials | M.D. |
| Telephone Number | 8562277488 |
NPI Number Detail
| NPI Number | 1710955323 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2010-04-06 |
Provider Mailing Address Detail
| Address | 900 Route 168 |
|---|---|
| City | Turnersville |
| State | New Jersey (NJ) |
| Post Code | 80123233 |
| Phone Number | 8562277488 |
| Fax Number | 8562283476 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25MA03237000 |
|
Definition: 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. |
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What is the South Jersey Dermatology Associates, Pa's unique identification number?
The South Jersey Dermatology Associates, Pa has been assigned the NPI (National Provider Identifier) Number 1710955323 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where South Jersey Dermatology Associates, Pa is geographically located?
The South Jersey Dermatology Associates, Pa is physically situated at the following location: 900 Route 168, Turnersville, NJ, 80123233.
What is the South Jersey Dermatology Associates, Pa's specialty and taxonomy code?
The South Jersey Dermatology Associates, Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date was the 1710955323 assigned to South Jersey Dermatology Associates, Pa?
The South Jersey Dermatology Associates, Pa was issued its 1710955323 on 2006-03-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to South Jersey Dermatology Associates, Pa most recently updated or revised?
The details related to South Jersey Dermatology Associates, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-06.