Organization
SURGIPLEX LLC
Active
Other names
Parker Center for Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M. PARKER MD (OWNER)
(201) 967-1212
Entity
Organization
Contact information
Practice address
122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
(201) 967-1212
(201) 262-6270
Mailing address
122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
(972) 758-3598
(972) 599-9604
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2715
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311112
HORIZON BCBS
NJ
Enumeration date
10/06/2006
Last updated
09/02/2009
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