Organization
SOMERSET COSMETIC & RECONSTRUCTIVE SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW A CLOTT M.D. (OWNER)
(908) 222-0070
Entity
Organization
Contact information
Practice address
31 MOUNTAIN BLVD., BLDG T, WARREN, NJ 07059-5648
(908) 222-0070
(908) 222-8027
Mailing address
31 MOUNTAIN BLVD., BLDG T, WARREN, NJ 07059-5648
(908) 222-0070
(908) 222-8027
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA07555400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8219869
GHI
NJ
01
—
J33130
HEALTHNET
NJ
01
—
MC01512F10
EMPIRE BC/BS
NJ
01
—
P00166342
UNITED HEALTHCARE RR
NJ
01
—
P3106486
OXFORD
NJ
Enumeration date
06/19/2006
Last updated
09/19/2016
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