| NPI | 1386613834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA CRUZ Credentialing Manager 732-833-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-11-21 |