| NPI | 1386763688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME FINKELSTEIN Director 800-607-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |