| NPI | 1033369905 |
|---|---|
| Doing Business As | COSMETIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN NICHOLAS VANDEMOER President 508-775-7026 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2009-03-09 |