OrganizationActive
Ear, Nose and Throat Group of Central New Jersey
NPI 1669924718 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Edison, NJ
Provider details
- NPI number
- 1669924718
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Robert Park, Ceo
- License
- 25MA05408700 (NJ)
Practice location
2124 Oak Tree Rd Fl 2
Edison, NJ 08820
Phone: (732) 205-1311
Fax: (732) 205-9648
Mailing address
23 Nevsky St
Edison, NJ 08820-2425
Registry dates
- Enumerated
- 2016-10-25
- Last updated
- 2018-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.