NPI 1760589972
The Plastic Surgery Group PA
Practice location
- Address
- 37 North Fullerton Ave, Montclair, NJ 07042
- Phone
- (973) 233-1933
- Fax
- (973) 233-1934
- Mailing address
- 37 N Fullerton Ave, Montclair, NJ 07042-3426
Authorised official
- Name
- Jansy Martinez
- Title
- Practice Manager
- Phone
- (973) 233-1933
Registered specialties
Plastic Surgery Physician
Primary
Registry record
- NPI
- 1760589972
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 8 Oct 2024
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.