| NPI | 1174044481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHWETAMBARA PARAKH Doctor 201-567-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA09755500) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |