| NPI | 1578861373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT CHARLES ROTHENBERG President 973-994-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA05236700) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |