Provider Demographics
NPI:1578617270
Name:ADVANCED DERMATOLOGY ASSOCIATES OF SUSSEX COUNTY, P.C.
Entity Type:Organization
Organization Name:ADVANCED DERMATOLOGY ASSOCIATES OF SUSSEX COUNTY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:PAPADOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-729-3945
Mailing Address - Street 1:70 SPARTA AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1760
Mailing Address - Country:US
Mailing Address - Phone:973-729-3945
Mailing Address - Fax:973-729-7441
Practice Address - Street 1:70 SPARTA AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1760
Practice Address - Country:US
Practice Address - Phone:973-729-3945
Practice Address - Fax:973-729-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Not Answered207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty
Not Answered207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty