Healthcare Provider Details

I. General information

NPI: 1609842202
Provider Name (Legal Business Name): THE PEER GROUP FOR PLASTIC SURGERY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 COLUMBIA TURNPIKE
FLORHAM PARK NJ
07932
US

IV. Provider business mailing address

124 COLUMBIA TURNPIKE
FLORHAM PARK NJ
07932
US

V. Phone/Fax

Practice location:
  • Phone: 973-822-3000
  • Fax: 973-822-1726
Mailing address:
  • Phone: 973-822-3000
  • Fax: 973-822-1726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA HAMMONS
Title or Position: ADMINISTRATOR
Credential:
Phone: 973-822-3000