| NPI | 1255736948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN AWN Office Admin 973-775-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA08713200) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2023-08-22 |