Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology & Laser Surgery Ctr

Organization Dermatology Physician · NPI 1780937045

Dermatology & Laser Surgery Ctr is a Dermatology Physician in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012

Practice location Address checks out

2125 Center Ave Ste 200
Fort Lee, NJ 07024-5859
Phone: (201) 461-5655
Fax: (201) 461-1181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 65361 (NJ)

Record details

NPI number1780937045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olga Goulko — Medical Doctor · (201) 461-5655
NPI enumeratedOctober 23, 2012
Last updated in NPPESOctober 17, 2013
Mailing address2125 Center Ave, Suite 200, Fort Lee, NJ 07024-5859

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