Healthcare Provider Details

I. General information

NPI: 1487723391
Provider Name (Legal Business Name): PLASTIC SURGERY OF CENTRAL JERSEY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 KUSER RD SUITE B-2
HAMILTON NJ
08619
US

IV. Provider business mailing address

PO BOX 3396
MERCERVILLE NJ
08619-0396
US

V. Phone/Fax

Practice location:
  • Phone: 609-585-0044
  • Fax: 609-585-5977
Mailing address:
  • Phone: 609-585-0044
  • Fax: 609-585-5977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PARVAIZ MALIK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 609-585-0044