| NPI | 1669631362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SIMON RISIN President 732-933-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA07613600) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |