| NPI | 1649357435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY EZRA CALLAHAN Managing Director 201-225-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA08118000) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-03-12 |