Registry details
Type
Individual
Primary specialty
Dermatology, Dermatopathology
Enumerated
May 3, 2006
License(s)
25MA02930300 (NJ)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 112 WHITE HORSE PIKE | Haddon Hgts, NJ 08035-1908 | 856-546-5353 |
| LOCATION | 219 N BROAD ST 4TH FL | Philadelphia, PA 19107-1519 | 215-762-5550 |
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