Organization
INSTITUTE FOR ADVANCED RECONSTRUCTION (OH), LLC
Active
Other names
The Institute
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA CRUZ (CREDENTIALING MANAGER)
(732) 333-8720
Entity
Organization
Contact information
Practice address
250 W OLD WILSON BRIDGE RD STE 300, WORTHINGTON, OH 43085-2215
(732) 333-8720
Mailing address
200 SCHULZ DR STE 2, RED BANK, NJ 07701-6745
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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