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Nicole Schrader, MD Facial Plastic And Reconstructive Surgery, LLC

Otolaryngology, Otolaryngology/Facial Plastic Surgery in Princeton, NJ. Organization (NPI-2).

NPI number1023312188
StatusActive
Last updated in NPPESJan 4, 2011

Details

NPI
1023312188
Entity type
Organization (NPI-2)
Legal business name
Nicole Schrader, MD Facial Plastic And Reconstructive Surgery, LLC
Organization subpart
No
Enumeration date
Jan 4, 2011
Last updated
Jan 4, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery25MA07870100NJYes

Practice location

214 N Harrison St
Princeton, NJ 08540-3507

Phone 609-279-0009 · Fax 609-924-1864

Mailing address

214 N Harrison St
Princeton, NJ 08540-3507

Phone 609-279-0009 · Fax 609-924-1864

Authorized official

Nicole Schrader-Barile
Owner
6092790009

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