LASER SKIN THERAPIES AT NOTCHVIEW-PINE BROOK, LLC
NPI 1588824262
Clinic/Center - Medical Specialty in Clifton, NJ
- Organization
- Clinic/Center
- Medical Specialty
About LASER SKIN THERAPIES AT NOTCHVIEW-PINE BROOK, LLC
This page provides the complete NPI Profile along with additional information for Laser Skin Therapies At Notchview-pine Brook, Llc, a provider established in Clifton, New Jersey operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1588824262 assigned on June 2008. The practitioner's primary taxonomy code is 261QM2500X with license number 25MA05503100 (NJ). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Susan Mediterraneo Md (Member)
- NPI
- 1588824262 Verify this NPI
- Provider Name
- LASER SKIN THERAPIES AT NOTCHVIEW-PINE BROOK, LLC
- Entity Type
- Organization
- Location Address
- 1033 US HIGHWAY 46 CLIFTON, NJ 07013
- Location Phone
- (973) 779-3911
- Location Fax
- (973) 471-2730
- Mailing Address
- 18 HOOK MOUNTAIN RD PINE BROOK, NJ 07058
- Mailing Phone
- (973) 227-0169
- Mailing Fax
- (973) 227-8942
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-16-2008
- Last Update Date
- 06-16-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 25MA05503100
- License State
- NJ
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
CLIFTON, NJ 07013
CLIFTON, NJ 07013
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588824262, enumerated as an "organization" on June 16, 2008.
The provider is located at 1033 US HIGHWAY 46 CLIFTON, NJ 07013 and the phone number is (973) 779-3911.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
