Organization
ANDRADE PLASTIC & RECONSTRUCTIVE SURGERY NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ANDRADE (PRESIDENT)
(954) 234-3811
Entity
Organization
Contact information
Practice address
6701 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1704
(718) 761-3700
Mailing address
265 WATER ST APT 4, NEW YORK, NY 10038-1718
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
01/03/2023
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