Organization
PERSONAL PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY LALLA M.D. (PRESIDENT)
(973) 324-9455
Entity
Organization
Contact information
Practice address
383 NORTHFIELD AVE, WEST ORANGE, NJ 07052-3024
(973) 324-9455
Mailing address
383 NORTHFIELD AVE, WEST ORANGE, NJ 07052-3024
(973) 324-9455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA58573
NJ
Other
Enumeration date
06/05/2008
Last updated
07/13/2024
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