Provider Demographics
NPI:1396576278
Name:SOSIN PLASTIC SURGERY LLC
Entity type:Organization
Organization Name:SOSIN PLASTIC SURGERY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-561-0900
Mailing Address - Street 1:15 SAGAMORE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-6527
Mailing Address - Country:US
Mailing Address - Phone:973-561-0900
Mailing Address - Fax:516-517-9515
Practice Address - Street 1:265 MILLBURN AVE
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1703
Practice Address - Country:US
Practice Address - Phone:973-561-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty