| NPI | 1134494917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE M BOLCATO Director Of Billing 201-986-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA04029800) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-06-06 |