Provider Demographics
NPI:1679991327
Name:SKIN OF ALL COLOR, LLC
Entity Type:Organization
Organization Name:SKIN OF ALL COLOR, LLC
Other - Org Name:SKIN OF ALL COLOR DERMATOLOGY AND COSMETIC MEDICINE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ONUMAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-250-7198
Mailing Address - Street 1:10 FORRESTAL RD S STE 101
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6666
Mailing Address - Country:US
Mailing Address - Phone:609-250-7198
Mailing Address - Fax:
Practice Address - Street 1:10 FORRESTAL RD S STE 101
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6666
Practice Address - Country:US
Practice Address - Phone:609-250-7198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08676000207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty