Organization
MONA LISA COSMETIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMTIN KASSIR M.D., F.A.C.S. (PHYSICIAN)
(973) 692-9300
Entity
Organization
Contact information
Practice address
1176 HAMBURG TPKE, WAYNE, NJ 07470-5069
(973) 692-9300
(973) 692-9301
Mailing address
1176 HAMBURG TPKE, WAYNE, NJ 07470-5069
(973) 692-9300
(973) 692-9301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NJ
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MA065731
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
MA065731
NJ
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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