Whalio Doctors

NPI 1417394313

Advanced Aesthetic Associates, INC.

Organisation Plastic Surgery Physician Englewood, NJ

Practice location

Address
106 Grand Avenue Suite 490, Englewood, NJ 07631
Phone
(201) 816-0040
Fax
(201) 816-0148
Mailing address
106 Grand Ave Suite 490, Englewood, NJ 07631-3574

Authorised official

Name
Norberto Luke Soto
Title
President
Phone
(201) 816-0040

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 25MA07387500 (NJ)

Registry record

NPI
1417394313
Entity type
Organization
NPI issued
31 May 2013
Record last updated
10 Jun 2013

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.