| NPI | 1972770311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY CHARLES RITOTA Owner 201-342-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |