| NPI | 1528301835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BETH SHOOK Accounting Supervisor 973-324-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA05921800) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |