GRAVES DERMA CARE CENTER PC


Address: 1020 Kings Hwy N, Suite 101, Cherry Hill, NJ 08034-1906
Phone: 8563210001

GRAVES DERMA CARE CENTER PC (NPI# 1265643357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265643357
Entity Type Organization
Organization Name GRAVES DERMA CARE CENTER PC
Practice Address 1020 Kings Hwy N
Suite 101
Cherry Hill
NJ 08034-1906
Mailing Address 3900 Ford Rd
Suite C
Philadelphia
PA 19131-2039
Practice Telephone 8563210001
Mailing Telephone 2158792389
Mailing Fax Number 2158792575
Enumeration Date 2007-05-24
Last Update Date 2013-04-30
Authorized Official Name VAUGHAN C GRAVES (PRESIDENT)
Authorized Official Telephone 2158792389
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Office Location

Street Address 1020 KINGS HWY N
SUITE 101
City CHERRY HILL
State NJ
Zip Code 08034-1906

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NPI Name Taxonomy Address Enumeration
1932154762 Gupta Institute for Pain, Wellness and Rehabilitation, LLC Physical Medicine & Rehabilitation 1020 Kings Hwy N, Suite 106, Cherry Hill, NJ 08034-1906 2006-05-23
1730724485 Abubaker Sharif Physical Therapy Assistant 1020 Kings Hwy N, Cherry Hill, NJ 08034-1906 2019-11-15
1205479987 Deanna Cybulski Speech-Language Pathologist 1020 Kings Hwy N, Cherry Hill, NJ 08034-1906 2019-10-24
1205370384 Erin Baker Occupational Therapist 1020 Kings Hwy N, Suite 108, Cherry Hill, NJ 08034-1906 2016-12-08
1619321338 Joan Marciniak Physical Therapist 1020 Kings Hwy N, Suite 108, Cherry Hill, NJ 08034-1906 2016-04-19
1326418690 Advance Therapy Associates Physical Therapist 1020 Kings Hwy N, Suite 108, Cherry Hill, NJ 08034-1906 2015-09-30
1891165189 Advance Therapy Associates Physical Therapy Assistant 1020 Kings Hwy N, Cherry Hill, NJ 08034-1906 2015-09-30
1689063778 Justin David Morris Physical Therapist 1020 Kings Hwy N, Suite 108, Cherry Hill, NJ 08034-1906 2015-01-13
1295139178 Katlyn Tiver Physical Therapist 1020 Kings Hwy N, Suite 108, Cherry Hill, NJ 08034-1906 2014-10-21
1801214069 Puja Jairath Physical Therapist 1020 Kings Hwy N, Suite 108, Cherry Hill, NJ 08034-1906 2014-04-03
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548436678 Harvey Glass Dermatology 1880 Route 70 East, Cherry Hill, NJ 08003-2029 2008-05-08
1326137936 Rosalie K Marinari Dermatology 211 Barclay Pavilion W, Cherry Hill, NJ 08034-2129 2006-10-12
1538626049 Nova Dermatology LLC Dermatology 455 Route 70 W, Cherry Hill, NJ 08002-3524 2019-02-21
1164871430 Clinical Health Care Associates of New Jersey, PC Dermatology 1865 Marlton Pike E, 2nd Floor Dermatology, Cherry Hill, NJ 08003-2013 2016-06-08
1689972606 Michael J Decosmo Do Pa Dermatology 2201 Chapel Ave West, Suite 102, Cherry Hill, NJ 08002 2011-03-01
1871514927 Dermatology & Skin Care Associates,p.c. Dermatology 200 Kings Hwy S, Cherry Hill, NJ 08034-2506 2006-07-22
1952331407 Victor G Mellul Dermatology 200 Kings Hwy S, Cherry Hill, NJ 08034-2506 2006-07-03
1376519645 Michael J. Decosmo Dermatology 2201 Chapel Ave W, Suite 102, Cherry Hill, NJ 08002-2048 2006-02-27

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Competitor

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City CHERRY HILL
Zip Code 08034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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