| NPI | 1265643209 |
|---|---|
| Former Legal Business Name | BULANPLASTICSURGERY |
| Entity Type | Organization |
| Authorized Contact | ERWIN J BULAN President 973-467-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ ma026961) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25ma07379300) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-10-28 |