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General NPI Number Information
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NPI Number | 1326141110
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY CENTER OF NORTH JERSEY
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1033 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-3517
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Country | US
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Telephone | 631-343-4745
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-3517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SNEHAL P AMIN
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Credential | M.D.
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Telephone | 631-343-4745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA05185900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA07070600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA06659700
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License Number State | NJ
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