| NPI | 1063720647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CACCIARELLI Owner 973-364-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |