Organization
SAMRA PLASTIC AND RECONSTRUCTIVE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BISKUP (OFFICE MANAGER)
(732) 739-2100
Entity
Organization
Contact information
Practice address
733 N BEERS ST, SUITE U1, HOLMDEL, NJ 07733-1528
(732) 739-2100
(732) 739-1002
Mailing address
733 N BEERS ST, SUITE U1, HOLMDEL, NJ 07733-1528
(732) 739-2100
(732) 739-1002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03149800
NJ
174400000X
Specialist
25MA07712600
NJ
Other
Enumeration date
06/03/2006
Last updated
10/23/2007
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