Organization · Type 2 NPI
Aesthetic and Surgical Specialist, PC
Surgical Physician Assistant · Wayne, NJ
NPI number
1669355020
Active
Practice location
401 Hamburg Tpke Ste 204
Wayne, NJ 07470-2139
Mailing address
762 Barnstable Ln
Franklin Lakes, NJ 07417-2900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1669355020
Aesthetic and Surgical Specialist, PC's National Provider Identifier is 1669355020, issued on Jul 30, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wayne, NJ. The record was last updated on Jul 30, 2025.