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NJ CERTIFIED DERMATOLOGY PC NPI 1326496241


NPI Information

NPI: 1326496241
Provider Name: NJ CERTIFIED DERMATOLOGY PC

Doing Business As: DEDICATED DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 31D2043828

Address:
2895 HAMILTON BLVD STE 202
ALLENTOWN, PA
ZIP 18104
Phone: (732) 456-7777
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NJ CERTIFIED DERMATOLOGY PC is a dermatology in Allentown, PA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. NJ CERTIFIED DERMATOLOGY PC NPI is 1326496241. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dedicated Dermatology.

The provider's business location address is:

2895 HAMILTON BLVD STE 202
ALLENTOWN, PA
ZIP 18104-172
Phone: (732) 456-7777
Fax: (848) 251-2189

The provider's authorized official is Lawrence L Anderson .
The authorized official title is Md/owner and has the following contact phone number (903) 521-6143.

The CLIA number assigned to this NPI record is 31D2043828 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 6/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103608008MEDICAIDPENNSYLVANIA
2773906OTHERPENNSYLVANIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.