Organization
ADVANCED AESTHETIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORBERTO LUKE SOTO M.D. (PRESIDENT)
(201) 816-0040
Entity
Organization
Contact information
Practice address
106 GRAND AVENUE, SUITE 490, ENGLEWOOD, NJ 07631
(201) 816-0040
(201) 816-0148
Mailing address
106 GRAND AVE, SUITE 490, ENGLEWOOD, NJ 07631-3574
(201) 816-0040
(201) 816-0148
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA07387500
NJ
Other
Enumeration date
05/31/2013
Last updated
06/10/2013
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