De Omilia Plastic Surgery PC
De Omilia Plastic Surgery PC is an Oral & Maxillofacial Surgery (D.M.D.) in Basking Ridge, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
96 S Finley AveBasking Ridge, NJ 07920
Phone: (908) 221-1136
Fax: (908) 221-0482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 25MA07315300 (NJ) |
|---|---|
| Plastic Surgery Physician | Taxonomy 208200000X · Licence 25MA07315300 (NJ) |
| Surgery of the Hand (Plastic Surgery) Physician | Taxonomy 2082S0105X · Licence 25MA07315300 (NJ) |
Record details
| NPI number | 1164618435 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Evdokimow — Owner · (908) 221-1136 |
| NPI enumerated | September 20, 2007 |
| Last updated in NPPES | April 3, 2008 |
| Mailing address | 96 South Finley Ave, Basking Ridge, NJ 07920 |
Other providers in Basking Ridge
-
Dr. David Z Evdokimow, MD
96 S Finley Ave, Basking Ridge, NJ 07920-1422 · (908) 221-1136