| NPI | 1033200704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES N GARDNER Owner 908-918-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA05373600) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2010-05-20 |