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General NPI Number Information
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NPI Number | 1407374796
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Entity Type | Organization
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Legal Business Name | GERIA DERMATOLOGY LLC
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 75 ORIENT WAY STE 204
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City | RUTHERFORD
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State | NJ
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Zip | 07070-2086
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Country | US
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Telephone | 201-623-8000
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Fax | 201-578-5160
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Provider Business Mailing Address
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Address Line | 75 ORIENT WAY STE 204
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City | RUTHERFORD
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State | NJ
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Zip | 07070-2086
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Country | US
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Telephone | 201-623-8000
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Fax | 201-578-5160
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Authorized Official
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Title or Position | DERMATOLOGIST
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Name | DR. AANAND GERIA
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Credential | MD
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Telephone | 201-623-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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