institution
Lasting Impression Medical Aesthetics, Llc
Radiology Clinic/Center in Fair Lawn, New Jersey
NPI 1912522889

Lasting Impression Medical Aesthetics, Llc is a Radiology Clinic/Center based in Fair Lawn, NJ and is specialized in Radiology. Lasting Impression Medical Aesthetics, Llc practices in Fair Lawn, NJ. The NPI Number for Lasting Impression Medical Aesthetics, Llc is 1912522889 and holds a License No. (New Jersey).

The current practice location address for Lasting Impression Medical Aesthetics, Llc is 25-15 Fair Lawn Ave Lowr Levelr, Fair Lawn, NJ and can be reached out via phone at 908-432-3228.

Location: 25-15 Fair Lawn Ave Lowr Levelr, Fair Lawn, NJ, 07410-3434
institution
Provider Profile Details
NPI Number
1912522889
Provider Name
Lasting Impression Medical Aesthetics, Llc
Credential
Provider Entity Type
Organization
Address
25-15 Fair Lawn Ave Lowr Levelr, Fair Lawn, NJ, 07410-3434
Phone Number
908-432-3228
Fax Number
Provider Enumeration Date
06/16/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0110361 05 NJ
institution
Provider Business Practice Location Address Details
Address
25-15 Fair Lawn Ave Lowr Levelr
City
State
Zip
07410-3434
Phone Number
908-432-3228
Fax Number
person
Provider Business Mailing Address Details
Address
25-15 Fair Lawn Ave Lowr Levelr
City
State
Zip
07410-3434
Phone Number
908-432-3228
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
()
Definition
Definition to come...
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