# NORTHERN NEW JERSEY PLASTIC SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851537864
- **Authorized official:** ALBERT KO M.D. (PRESIDENT)
- **Authorized official phone:** (973) 270-0283

## Contact information

- **Practice address:** 95 MADISON AVE, SUITE 103, MORRISTOWN, NJ 07960-6092
- **Practice address phone:** (973) 270-0283
- **Mailing address:** PO BOX 80, LIBERTY CORNER, NJ 07938-0080
- **Mailing address phone:** (973) 270-0283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA08443200 | NJ | Yes |

## Other

- **Enumeration date:** 12/22/2008
- **Last updated:** 01/29/2009
