| NPI | 1881031169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DELROSSI Physician Assistant 267-519-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: PA MD058286L) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |