Organization
AESTHETIC CENTER OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD MIRZA MD (OWNER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
794 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1379
(914) 376-6100
(914) 470-5056
Mailing address
794 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1379
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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