| Organization Name: | SUMMIT PLASTIC SURGERY, PC |
| NPI Number: | 1033200704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES N GARDNER (OWNER) |
| Mailing Address: | 33 Overlook Rd Suite 310 Summit |
| State: | NJ US |
| Postal Code: | 079013563 |
| Phone Number: | 9089181969 |
| Fax Number: | 9089181995 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 05/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 25MA05373600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |