| NPI | 1477750503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALLEN GRECO Owner 732-842-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MB06219300) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |