Organization
THE PLASTIC SURGERY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANSY MARTINEZ (PRACTICE MANAGER)
(973) 233-1933
Entity
Organization
Contact information
Practice address
37 NORTH FULLERTON AVE, MONTCLAIR, NJ 07042
(973) 233-1933
(973) 233-1934
Mailing address
37 N FULLERTON AVE, MONTCLAIR, NJ 07042-3426
(973) 233-1933
(973) 233-1934
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
10/08/2024
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