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:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2086S0122X | Surgery | Plastic and Reconstructive Surgery | 25MA07334800 | NEW JERSEY | No |
| 2 | 2086S0105X | Surgery | Surgery of the Hand | 25MA07334800 | NEW JERSEY | No |
| 3 | 2082S0099X | Plastic Surgery | Plastic Surgery Within the Head and Neck | 25MA07334800 | NEW JERSEY | No |
| 4 | 2082S0105X | Plastic Surgery | Surgery of the Hand | 25MA07334800 | NEW JERSEY | No |
| 5 | 208600000X | Surgery | | 25MA07334800 | NEW JERSEY | No |
| 6 | 208200000X | Plastic Surgery | | 25MA07334800 | NEW JERSEY | Yes |