| 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 |