| NPI | 1134261530 |
|---|---|
| Other Name | BAXT COSMEDICAL COSMEDICAL |
| Entity Type | Organization |
| Authorized Contact | MELINDA L JOSE Office Manager 201-265-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |