| NPI | 1619119906 |
|---|---|
| Doing Business As | NORTHEAST PLASTIC & RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | FRIEDA M LOWDER VP Physician Services 704-403-4146 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2010-06-01 |