| NPI | 1114135217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CONN President 201-836-9296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ MA59246) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2020-08-22 |