| NPI | 1952817579 |
|---|---|
| Doing Business As | CENTER FOR BREAST RECONSTRUCTION |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CARROLL Manager 732-769-2557 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA08711800) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-03-17 |