Individual
EMILY VANKOUWENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 PATERSON ST STE 4100, NEW BRUNSWICK, NJ 08901
(732) 235-7865
Mailing address
316 W 81ST ST APT 5, NEW YORK, NY 10024-5796
(585) 233-3875
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA10615300
NJ
208200000X
Plastic Surgery Physician
292669
NY
Other
Enumeration date
05/08/2012
Last updated
07/23/2021
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