Englewood Dermatology Center
Englewood Dermatology Center is a Preferred Provider Organization in Englewood, 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
300 Grand Ave Ste 201Englewood, NJ 07631-4398
Phone: (201) 569-5151
Fax: (201) 569-9193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 207N00000X (NJ) |
|---|
Record details
| NPI number | 1588930663 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lenis Gonzalez — M.D. · (201) 569-5151 |
| NPI enumerated | March 22, 2012 |
| Last updated in NPPES | March 22, 2012 |
| Mailing address | 300 Grand Ave, Suite 201, Englewood, NJ 07631-4398 |