Cosulich Dermatology LLC
Cosulich Dermatology LLC is a Dermatology Physician in Wall Township, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.
- Licensed in
- NJ
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3350 Highway 138 Bldg 2 Ste 122Wall Township, NJ 07719-9693
Phone: (732) 280-1200
Fax: (732) 280-1207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 25MA04679500 (NJ) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 25MA04679500 (NJ) |
Record details
| NPI number | 1427333632 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Cosulich — Owner · (732) 280-1200 |
| NPI enumerated | October 19, 2011 |
| Last updated in NPPES | June 7, 2021 |
| Certification date | June 7, 2021 |
| Mailing address | 3350 Highway 138, Building 2 Suite 122, Wall Township, NJ 07719-9693 |
Other providers in Wall Township
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Cosulich Dermatology 2 LLC
3350 Highway 138 Bldg 2, Wall Township, NJ 07719-9693 · (732) 280-1207