Organization · Type 2 NPI
Mona Lisa Cosmetic Surgery Center
Otolaryngology/Facial Plastic Surgery Physician · Wayne, NJ
NPI number
1770801086
Active
Practice location
1176 Hamburg Tpke
Wayne, NJ 07470-5069
Fax (973) 692-9301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | None listed |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | MA065731 (NJ) |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MA065731 (NJ) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
3 other providers at this address
About NPI 1770801086
Mona Lisa Cosmetic Surgery Center's National Provider Identifier is 1770801086, issued on May 11, 2010. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Wayne, NJ. The record was last updated on May 11, 2010.