Organization
AESTHETIC AND RECONSTRUCTIVE HAND SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M WINTERS MD (PARTNER)
(201) 487-3400
Entity
Organization
Contact information
Practice address
113 W ESSEX ST, SUITE 202, MAYWOOD, NJ 07607-1020
(201) 487-3400
(201) 487-2481
Mailing address
113 W ESSEX ST, SUITE 202, MAYWOOD, NJ 07607-1020
(201) 487-3400
(201) 487-2481
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600421537
CERTIFICATE OF FORMATION
NJ
Enumeration date
07/13/2015
Last updated
07/13/2015
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