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Organization
NANTUCKET PLASTIC SURGERY PC
Active
Organization
NANTUCKET PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY SMOTRICH MD (OWNER)
(609) 896-2525
Entity
Organization
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(609) 896-2525
Mailing address
3131 PRINCETON PIKE, STE 5-205, LAWRENCEVILLE, NJ 08648-2201
(609) 896-2525
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
51056
MA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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