OrganizationActive
Dermatology Associates of South Jersey, L.L.C.
NPI 1699960096 · Dermatopathology Physician · Mount Laurel, NJ
Provider details
- NPI number
- 1699960096
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carrie Ann Cusack, Physician/Owner(856) 206-0201
- License
- 25MA07815500 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
150 Century Pkwy Ste 150
Mount Laurel, NJ 08054-1129
Phone: (856) 206-0201
Fax: (856) 206-0209
Approximate (ZIP-level) locationGet directions
Mailing address
150 Century Pkwy Ste 105
Mount Laurel, NJ 08054-1129
Additional practice locations (1)
- 112 White Horse PikeHaddon Heights, NJ 08035-1908Phone: (856) 546-5353Fax: (856) 546-8711
Registry dates
- Enumerated
- 2007-09-09
- Last updated
- 2020-12-04
- Certified
- 2020-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.