Organization
AESTHETIC AND RECONSTRUCTIVE THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ZAPIACH (OWNER)
(201) 251-6622
Entity
Organization
Contact information
Practice address
1 W RIDGEWOOD AVE, SUITE 302, PARAMUS, NJ 07652-2359
(201) 251-6622
(201) 689-1559
Mailing address
1 W RIDGEWOOD AVE, SUITE 302, PARAMUS, NJ 07652-2359
(201) 251-6622
(201) 689-1559
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
25MA07334800
NJ
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
25MA07334800
NJ
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
25MA07334800
NJ
208600000X
Surgery Physician
25MA07334800
NJ
2086S0105X
Surgery of the Hand (Surgery) Physician
25MA07334800
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA07334800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118786DHK
MEDICARE PTAN
—
Enumeration date
01/27/2010
Last updated
01/27/2010
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