Provider First Line Business Practice Location Address:
370 GRAND AVE SUITE 202
Provider Second Line Business Practice Location Address:
PARAKH PLASTIC SURGURY
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-567-1919
Provider Business Practice Location Address Fax Number:
201-567-1955
Provider Enumeration Date:
11/25/2008