| NPI | 1376917633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA B SUROWITZ Co Owner 919-619-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NC 2013-00940) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2013-00940) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NC 2013-00940) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 2013-00940) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2017-04-10 |