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 |