Provider Demographics
NPI:1265811848
Name:SOOD CENTER FOR PLASTIC SURGERY, PC
Entity type:Organization
Organization Name:SOOD CENTER FOR PLASTIC SURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-904-5390
Mailing Address - Street 1:199 NEW RD
Mailing Address - Street 2:SUITE 31
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-2025
Mailing Address - Country:US
Mailing Address - Phone:609-904-5390
Mailing Address - Fax:609-904-5394
Practice Address - Street 1:199 NEW RD
Practice Address - Street 2:SUITE 31
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-2025
Practice Address - Country:US
Practice Address - Phone:609-904-5390
Practice Address - Fax:609-904-5394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09088300261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical