| NPI | 1154317345 |
|---|---|
| Former Legal Business Name | ADVANTAGE COSMETIC SURGERY LLC |
| Entity Type | Organization |
| Authorized Contact | RANDALL WARREN VOLK Owner 609-272-0365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA05428200) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2008-05-14 |