Provider Demographics
NPI:1669162376
Name:PLASTIC SURGERY SOLUTIONS,LLC
Entity type:Organization
Organization Name:PLASTIC SURGERY SOLUTIONS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PASICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-281-1988
Mailing Address - Street 1:1959 RTE 34
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-9760
Mailing Address - Country:US
Mailing Address - Phone:732-281-1988
Mailing Address - Fax:732-281-1977
Practice Address - Street 1:1959 RTE 34
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-9760
Practice Address - Country:US
Practice Address - Phone:732-281-1988
Practice Address - Fax:732-281-1977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty