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 |