| NPI | 1821505462 |
|---|---|
| Doing Business As | STUDIO 17 COSMETICS & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRIZA WALTER Medical Director 201-301-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA09325400) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-08-17 |