| NPI | 1598067464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN M. BIDIC Owner 856-362-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA08686600) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NJ 25MA08686600) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2022-01-07 |