Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sr Plastic Surgery PC

Organization Plastic and Reconstructive Surgery Physician · NPI 1356805402

Sr Plastic Surgery PC is a Plastic and Reconstructive Surgery Physician in East Brunswick, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Cornwall Dr Unit B2
East Brunswick, NJ 08816
Phone: (617) 233-9928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1356805402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kandice King — Credentialing Specialist · (847) 228-3303
NPI enumeratedJanuary 23, 2019
Last updated in NPPESSeptember 20, 2019
Mailing address9 Mounthaven Dr, Livingston, NJ 07039-2711

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