Individual
DR. LISA GFRERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D. PH. D.
Contact information
Practice address
425 E 61ST ST FL 10, NEW YORK, NY 10065-8722
(646) 962-4250
(212) 821-0777
Mailing address
425 E 61ST ST FL 10, NEW YORK, NY 10065-8722
(646) 962-4250
(212) 821-0777
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
264127
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538555297
—
MA
Enumeration date
04/09/2015
Last updated
09/18/2022
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