| NPI | 1043958465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS E. GLASER President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| 2088P0231X Urology, Pediatric Urology | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-10-22 |