Healthcare Provider Details

I. General information

NPI: 1447959713
Provider Name (Legal Business Name): PARAGON SKIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 COMMONS WAY BLDG B
TOMS RIVER NJ
08755-6427
US

IV. Provider business mailing address

120 YORK ST APT 306
JERSEY CITY NJ
07302-3752
US

V. Phone/Fax

Practice location:
  • Phone: 732-234-7546
  • Fax:
Mailing address:
  • Phone: 510-922-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARC ZACHARY HANDLER
Title or Position: OWNER
Credential: MD
Phone: 510-922-0123