NPI | 1316265408 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERICK A COVILLE President 609-957-5652 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA05499900) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA05499900) |
208200000X Plastic Surgery (Licence: NJ 25MA05499900) | |
208D00000X General Practice (Licence: NJ 25MA05499900) | |
Enumeration Date | 2010-05-13 |
Last Update Date | 2010-08-10 |