Organization Name: | PREMIER PLASTIC SURGERY CENTER OF NEW JERSEY LLC |
NPI Number: | 1053441691 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN S GLATT (DIRECTOR) |
Mailing Address: | 182 South St Ste 9 Morristown |
State: | NJ US |
Postal Code: | 079605350 |
Phone Number: | 9738899300 |
Fax Number: | 9738899400 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA07878300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |