| NPI | 1184760183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN S. SOROKIN Owner 856-797-0202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: NJ 25MA07541400) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-01-23 |