Organization
CENTER FOR RECONSTRUCTIVE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROSEN MD PC (OWNER)
(732) 240-6396
Entity
Organization
Contact information
Practice address
1114 HOOPER AVE, TOMS RIVER, NJ 08753-8325
(732) 240-6396
Mailing address
1114 HOOPER AVE, TOMS RIVER, NJ 08753-8325
(732) 240-6396
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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