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Organization

HUDSON PLASTIC SURGERY NJ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD MICHAEL GANDOLFI (OWNER)
(212) 287-7211
Entity
Organization

Contact information

Practice address
25 5TH AVE, SUITE 1F, NEW YORK, NY 10003-4308
(212) 287-7211
(212) 287-7210
Mailing address
25 5TH AVE SUITE 1F, NEW YORK, NY 10003-4308
(212) 287-7211
(212) 287-7210

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
06/05/2020
Last updated
02/02/2026
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