| NPI | 1629084280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MONTEIRO Manager 732-548-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: NJ 25MA06867200) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-02-20 |