Organization
CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PA
Active
Other names
Parker Center for Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M. PARKER M.D. (OWNER)
(201) 967-1212
Entity
Organization
Contact information
Practice address
122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
(201) 967-1212
(201) 262-6270
Mailing address
PO BOX 678688, DALLAS, TX 75267-8688
(972) 758-3595
(972) 599-9604
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
36477
NJ
Other
Enumeration date
11/13/2006
Last updated
04/03/2008
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