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

Lipolaser of South Jersey PC

Organization Dermatology Physician · NPI 1205443405

Lipolaser of South Jersey PC is a Dermatology Physician in Marlton, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

100 Centre Blvd Ste 100E
Marlton, NJ 08053-4128
Phone: (856) 983-3600
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Dermatology Physician Taxonomy 207N00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1205443405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Pistone — Owner · (856) 983-3600
Other names Revive Life Treatment Center Of South Jersey
NPI enumeratedSeptember 30, 2020
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020
Mailing address100 Centre Blvd Ste 100e, Marlton, NJ 08053-4128

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