Organization
DR GOODNIGHT CENTER FOR EVERLASTING BEAUTY
Active
Other names
Optimum Vitality
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WAYN GOODNIGHT M.D. (OWNER/EXECUTIVE DIRECTOR)
(973) 427-2711
Entity
Organization
Contact information
Practice address
535 HIGH MOUNTAIN RD, SUITE 110, NORTH HALEDON, NJ 07508-2665
(973) 427-2711
(973) 949-5350
Mailing address
535 HIGH MOUNTAIN RD, SUITE 110, NORTH HALEDON, NJ 07508-2665
(973) 427-2711
(973) 949-5350
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
25MA06252500
NJ
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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