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General NPI Number Information
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NPI Number | 1770067126
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Entity Type | Organization
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Legal Business Name | SKIN CANCER AND COSMETIC SURGERY CENTER OF NEW JERSEY, LLC
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 10 PARSONAGE RD STE 312
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City | EDISON
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State | NJ
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Zip | 08837-2429
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Country | US
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Telephone | 908-227-5517
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Fax |
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Provider Business Mailing Address
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Address Line | 10 PARSONAGE RD STE 312
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City | EDISON
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State | NJ
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Zip | 08837-2429
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Country | US
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Telephone | 908-227-5517
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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. ADRIANA LOMBARDI
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Credential | MD
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Telephone | 908-420-3933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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