SR PLASTIC SURGERY PC NPI 1356805402

NPI Information

SR PLASTIC SURGERY PC is a plastic and reconstructive surgery surgery in East Brunswick, NJ. The provider is a surgeon who specializes in plastic and reconstructive surgery. SR PLASTIC SURGERY PC NPI is 1356805402. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 CORNWALL DR
UNIT B2
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (617) 233-9928

The provider's authorized official is Kandice King .
The authorized official title is Credentialing Specialist and has the following contact phone number (847) 228-3303.

The enumeration date for this NPI number is 1/23/2019 and was last updated on 9/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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