| NPI | 1053724674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME A BASTIDAS President 610-442-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA07689900) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |