MEDICARE: PLASTIC SURGERY SOLUTIONS,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1669162376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLASTIC SURGERY SOLUTIONS,LLC

Provider Business Mailing Address
First Line	:	1959 RTE 34
Second Line	:
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9760
Country	:	US
Telephone Number	:	732-281-1988
Fax Number	:	732-281-1977

Provider Business Practice Location Address
First Line	:	1959 RTE 34
Second Line	:
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9760
Country	:	US
Telephone Number	:	732-281-1988
Fax Number	:	732-281-1977

Authorized Official
Title or Position	:	SURGEON
Name	:	CHRISTINA M PASICK
Credential	:	MD
Telephone Number	:	732-281-1988

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	05/10/2023

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