| NPI | 1508902792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD RAFIZADEH Owner 073-267-0928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA03770300) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-08-12 |