| NPI | 1790824589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROSEN Medical Doctor 732-240-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA05003300) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2014-11-12 |