Organization
PLASTIC SURGERY CENTER OF NEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J PYO MD (OWNER)
(973) 540-9546
Entity
Organization
Contact information
Practice address
131 MADISON AVE, SUITE 120, MORRISTOWN, NJ 07960-7360
(973) 540-9546
(973) 540-0344
Mailing address
131 MADISON AVE, SUITE 120, MORRISTOWN, NJ 07960-7360
(973) 540-9546
(973) 540-0344
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA06570500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023387
MEDICARE PTAN
NJ
Enumeration date
11/14/2006
Last updated
01/07/2011
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