Organization
PLASTIC SURGERY SPECIALIST OF NEW JERSEY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK JAMES FERRARO JR. M.D. (PRESIDENT)
(201) 294-2908
Entity
Organization
Contact information
Practice address
75 N MAPLE AVE, SUITE 100, RIDGEWOOD, NJ 07450-3247
(201) 664-8000
(908) 953-0550
Mailing address
75 N MAPLE AVE, SUITE 100, RIDGEWOOD, NJ 07450-3247
(201) 664-8000
(908) 953-0550
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA05457100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951515
MEDICARE PTAN
NJ
Enumeration date
03/29/2011
Last updated
03/29/2011
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