Organization
SURGICAL RECONSTRUCTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization
Contact information
Practice address
2 TOKALON PL, METAIRIE, LA 70001-3020
(631) 827-8159
Mailing address
2 TOKALON PL, METAIRIE, LA 70001-3020
(631) 827-8159
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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