Organization
PLASTIC SURGERY PRACTICE OF HOBOKEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANSAR MIR MD (DIRECTOR)
(516) 439-5160
Entity
Organization
Contact information
Practice address
1320 ADAMS ST STE D, HOBOKEN, NJ 07030-2370
(516) 439-5160
(516) 439-5161
Mailing address
2631 MERRICK RD STE 200, BELLMORE, NY 11710-5784
(516) 439-5160
(516) 439-5161
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239811
MEDICAL LICENSE
NY
Enumeration date
10/09/2018
Last updated
10/09/2018
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