| NPI | 1114208857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATA V WEBER Member 917-582-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NJ 25MA08986200) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NJ 25MA07791700) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |