| NPI | 1235588732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY SMOTRICH Owner 609-896-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 51056) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |