| NPI | 1013624204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS E. GLASER President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2086S0120X Surgery, Pediatric Surgery | |
| 2088P0231X | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-10-21 |