Organization
PLASTIC & COSMETIC SURGICAL GROUP OF NEW JERSEY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH (DEBBIE) M LANZILOTTA CIARLANTE (ADMIN. ASST.)
(856) 256-7705
Entity
Organization
Contact information
Practice address
1007 MANTUA PIKE, SUITE B, WOODBURY, NJ 08096-3963
(856) 256-7705
(856) 256-7709
Mailing address
1007 MANTUA PIKE, SUITE B, WOODBURY, NJ 08096-3963
(856) 256-7705
(856) 256-7709
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0100919424
NJ
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033464
—
NJ
Enumeration date
06/16/2005
Last updated
08/29/2018
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