| NPI | 1295308658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS E. GLASER President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology |
| 2086S0120X Surgery, Pediatric Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-10-22 |