Organization
PLASTIC SURGERY ASSOCIATES OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE FLEMING (CHIEF FINANCIAL OFFICER)
(609) 394-6029
Entity
Organization
Contact information
Practice address
2 CAPITAL WAY, SUITE 505, PENNINGTON, NJ 08534-2521
(609) 537-7000
(609) 537-7070
Mailing address
PO BOX 8500-9097, PHILADELPHIA, PA 19178-0001
(609) 815-7810
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253022
—
NJ
Enumeration date
01/11/2011
Last updated
06/18/2012
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