OrganizationActive
Aesthetic Dermatology, LLC
NPI 1750449104 · Dermatology Physician · Marlton, NJ
Provider details
- NPI number
- 1750449104
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandra Elder, Physician(856) 596-3393
- License
- MA53938 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
771 E Route 70
Suite D150
Marlton, NJ 08053-2352
Phone: (856) 596-3393
Fax: (856) 596-3394
Approximate (ZIP-level) locationGet directions
Mailing address
771 E Route 70
Marlton, NJ 08053-2352
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2013-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.