NPI 1548531031

Village Plastic Surgery PC

Organisation Plastic Surgery Physician Ridgewood, NJ

Practice location

Address: 75 Oak St, Ridgewood, NJ 07450-2558
Phone: (973) 773-2039
Mailing address: PO Box 623, Clifton, NJ 07012-0623

Authorised official

Name: Peyman Maghsoudlou
Title: Manager
Phone: (973) 773-2039

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in New Jersey →

Registry record

NPI: 1548531031
Entity type: Organization
NPI issued: 16 Jan 2012
Record last updated: 16 Jan 2012

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.