Provider Demographics
NPI:1174642128
Name:WESTFIELD PLASTIC SURGICAL CENTER LLC
Entity Type:Organization
Organization Name:WESTFIELD PLASTIC SURGICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-654-6540
Mailing Address - Street 1:955 S SPRINGFIELD AVE
Mailing Address - Street 2:SUITE 105, BLDG. A
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-3574
Mailing Address - Country:US
Mailing Address - Phone:908-654-6540
Mailing Address - Fax:908-654-6504
Practice Address - Street 1:955 S SPRINGFIELD AVE
Practice Address - Street 2:SUITE 105. BLDG A
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3574
Practice Address - Country:US
Practice Address - Phone:908-659-0480
Practice Address - Fax:908-654-6504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty