OrganizationActive
Advanced Dermatology & Skin Surgery, PC
NPI 1023044724 · Dermatology Physician · Lakewood, NJ
Provider details
- NPI number
- 1023044724
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mordechai Tarlow, President
- License
- 25MA07911600 (NJ)
Mailing address
886 River Ave
Lakewood, NJ 08701-5220
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2013-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.