NPI 1073284675

New Jersey Plastic Surgery

Organisation Plastic Surgery Physician Montclair, NJ

Practice location

Address: 29 Park St, Montclair, NJ 07042-3407
Phone: (973) 509-2000

Authorised official

Name: Shirlee Wilson
Title: Office Manager
Phone: (973) 509-2000

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in New Jersey →

Registry record

NPI: 1073284675
Entity type: Organization
NPI issued: 23 Sep 2021
Record last updated: 28 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.