OrganizationActive
Advanced Dermatology Surgery Center
NPI 1144657164 · Procedural Dermatology Physician · Tinton Falls, NJ
Provider details
- NPI number
- 1144657164
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Glenn Kolansky, Owner
- License
- 25MA06217900 (NJ)
Practice location
4 Hartford Dr
Suite 3
Tinton Falls, NJ 07701-4929
Phone: (732) 933-8500
Fax: (732) 933-4177
Mailing address
4 Hartford Dr
Tinton Falls, NJ 07701-4929
Registry dates
- Enumerated
- 2013-10-04
- Last updated
- 2015-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.