Organization · NPI-2
Breslow Center For Plastic Surgery
Surgery, Plastic and Reconstructive Surgery · Paramus, NJ
NPI number1689896664
StatusActive
Last updated in NPPESMay 6, 2008
Details
- NPI
- 1689896664
- Entity type
- Organization (NPI-2)
- Legal business name
- Breslow Center For Plastic Surgery
- Organization subpart
- No
- Enumeration date
- May 2, 2007
- Last updated
- May 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | 25MA07627100 | NJ | Yes |
Practice location
1 W Ridgewood AveSuite 110
Paramus, NJ 07652-2359
Phone 201-444-9522 · Fax 201-444-9277
Mailing address
1 W Ridgewood AveSuite 110
Paramus, NJ 07652-2359
Phone 201-444-9522 · Fax 201-444-9277
Authorized official
Gary D. Breslow
President
2014449522
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