Palisade Plastic Surgery Associates PC
Surgery, Plastic and Reconstructive Surgery in Fort Lee, NJ. Organization (NPI-2).
NPI number1265591556
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1265591556
- Entity type
- Organization (NPI-2)
- Legal business name
- Palisade Plastic Surgery Associates PC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | MA58683 | NJ | Yes |
Other names
- Paul Rosenberg MD PC (Former Legal Business Name)
Practice location
1567 Palisade Ave 3rd FloorFort Lee, NJ 07024-6923
Phone 201-585-2388 · Fax 201-947-3860
Mailing address
1567 Palisade Ave 3rd FloorFort Lee, NJ 07024-6923
Phone 201-585-2388 · Fax 201-947-3860
Authorized official
Paul H Rosenberg
Managing Physician
2015852388
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