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Contact Information

DE OMILIA PLASTIC SURGERY PC
96 SOUTH FINLEY AVE
BASKING RIDGE, NJ07920
 Phone: 908-221-1136
 Fax: 908-221-0482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DE OMILIA PLASTIC SURGERY PC · (Female)

NPI # 1164618435
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2007
Last updated 04/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA07315300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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