Laser Skin Therapies At Notchview-Pine Brook, Llc in Clifton - Medical Specialty
Laser Skin Therapies At Notchview-Pine Brook, Llc - NPI 1588824262
Laser Skin Therapies At Notchview-Pine Brook, Llc is a Medical Specialty in Clifton, New Jersey. Laser Skin Therapies At Notchview-Pine Brook, Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Laser Skin Therapies At Notchview-Pine Brook, Llc is 1588824262. The last update date is 2008-06-16.
Laser Skin Therapies At Notchview-Pine Brook, Llc's current location address is 1033 Us Highway 46, Clifton, New Jersey. You can contact this provider via phone number 9737793911 and fax number 9734712730. The mailing address for Laser Skin Therapies At Notchview-Pine Brook, Llc is 1033 Us Highway 46, Clifton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Laser Skin Therapies At Notchview-Pine Brook, Llc |
|---|---|
| Address | 1033 Us Highway 46, Clifton, New Jersey |
| Phone Number | 9737793911 |
| Fax Number | 9734712730 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Mediterraneo Susan |
| Credentials | MD |
| Telephone Number | 9732270169 |
NPI Number Detail
| NPI Number | 1588824262 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 1033 Us Highway 46 |
|---|---|
| City | Clifton |
| State | New Jersey (NJ) |
| Post Code | 70132473 |
| Phone Number | 9737793911 |
| Fax Number | 9734712730 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 25MA05503100 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique identification code assigned to Laser Skin Therapies At Notchview-Pine Brook, Llc by the Centers for Medicare & Medicaid Services?
The Laser Skin Therapies At Notchview-Pine Brook, Llc has been issued the NPI (National Provider Identifier) 1588824262. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Laser Skin Therapies At Notchview-Pine Brook, Llc is physically located?
The Laser Skin Therapies At Notchview-Pine Brook, Llc is situated at the following address: 1033 Us Highway 46, Clifton, NJ 70132473.
What is the Laser Skin Therapies At Notchview-Pine Brook, Llc's area of specialization and corresponding taxonomy classification?
The Laser Skin Therapies At Notchview-Pine Brook, Llc's specialty field is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588824262 to Laser Skin Therapies At Notchview-Pine Brook, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1588824262 to Laser Skin Therapies At Notchview-Pine Brook, Llc on 2008-06-16.
When was the information related to Laser Skin Therapies At Notchview-Pine Brook, Llc most recently updated or refreshed?
The details pertaining to the Laser Skin Therapies At Notchview-Pine Brook, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-16.
NPI Number: 1750351375
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