| NPI | 1952613622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS COOPERMAN President 973-941-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA08737800) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2024-08-05 |