Provider Demographics
NPI:1497952220
Name:NEW JERSEY AESTHETIC PLASTIC SURGERY, P.A.
Entity Type:Organization
Organization Name:NEW JERSEY AESTHETIC PLASTIC SURGERY, P.A.
Other - Org Name:BARRY S. CITRON, M.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:CITRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-535-5222
Mailing Address - Street 1:315 E NORTHFIELD RD
Mailing Address - Street 2:2A
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4800
Mailing Address - Country:US
Mailing Address - Phone:973-535-5222
Mailing Address - Fax:973-535-1450
Practice Address - Street 1:315 E NORTHFIELD RD
Practice Address - Street 2:2A
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4800
Practice Address - Country:US
Practice Address - Phone:973-535-5222
Practice Address - Fax:973-535-1450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ117250Medicare PIN