Organization
IMAGE PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN JEFFREY MOSKOVITZ MD (PRESIDENT/OWNER)
(201) 788-7912
Entity
Organization
Contact information
Practice address
140 ROUTE 17 NORTH, SUITE 105, PARAMUS, NJ 07652
(201) 225-1101
(201) 225-1106
Mailing address
140 ROUTE 17 NORTH, SUITE 105, PARAMUS, NJ 07652
(201) 225-1101
(201) 225-1106
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA05943000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027740
—
NJ
Enumeration date
03/02/2007
Last updated
10/17/2018
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