Organization
EAR NOSE THROAT AND FACIAL PLASTIC SURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CLARKE M.D. (EXECUTIVE VICE PRESIDENT, PHYSICIAN)
(732) 765-6317
Entity
Organization
Contact information
Practice address
1608 ROUTE 88, SUITE 240, BRICK, NJ 08724-3009
(732) 458-8575
(732) 206-0578
Mailing address
PO BOX 95000-8277, PHILADELPHIA, PA 19195-0001
(732) 807-0800
(732) 922-0527
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
09/28/2022
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