| NPI | 1598350613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MURTAGH Authorized Official 866-663-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-04-29 |