Provider Demographics
NPI:1528421567
Name:PRESTIGE INSTITUTE FOR PLASTIC SURGERY, P.C.
Entity type:Organization
Organization Name:PRESTIGE INSTITUTE FOR PLASTIC SURGERY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMBURRINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-992-2490
Mailing Address - Street 1:13 LAS BRISAS BLVD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3427
Mailing Address - Country:US
Mailing Address - Phone:267-992-2490
Mailing Address - Fax:856-504-6617
Practice Address - Street 1:51 HADDONFIELD RD
Practice Address - Street 2:SUITE 145
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-4801
Practice Address - Country:US
Practice Address - Phone:267-992-2490
Practice Address - Fax:856-504-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08953800208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty