| NPI | 1285856922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ LALLA President 609-584-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA04801200) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-06-16 |