Provider Demographics
NPI:1902259187
Name:EAST COAST PLASTIC SURGERY
Entity Type:Organization
Organization Name:EAST COAST PLASTIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-628-7300
Mailing Address - Street 1:333 BROAD ST
Mailing Address - Street 2:STE 1
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2178
Mailing Address - Country:US
Mailing Address - Phone:732-852-2770
Mailing Address - Fax:
Practice Address - Street 1:333 BROAD ST
Practice Address - Street 2:STE 1
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2178
Practice Address - Country:US
Practice Address - Phone:732-852-2770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty