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Pennsylvania Centre For Plastic Surgery, Pc
Specialist in Philadelphia, Pennsylvania
NPI 1174728802

Pennsylvania Centre For Plastic Surgery, Pc is a Specialist based in Philadelphia, PA. Pennsylvania Centre For Plastic Surgery, Pc practices in Philadelphia, PA. The NPI Number for Pennsylvania Centre For Plastic Surgery, Pc is 1174728802 and holds a License No. MD028290E (Pennsylvania).

The current practice location address for Pennsylvania Centre For Plastic Surgery, Pc is 800 Spruce St, Philadelphia, PA and can be reached out via phone at 215-829-7290 and via fax at 215-829-5430.

Location: 800 Spruce St, Philadelphia, PA, 19107-6130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174728802
Provider Name
Pennsylvania Centre For Plastic Surgery, Pc
Credential
Provider Entity Type
Organization
Address
800 Spruce St, Philadelphia, PA, 19107-6130
Phone Number
215-829-7290
Fax Number
215-829-5430
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0608329 01 PA AETNA
0413987 01 PA HIGHMARK BLUE SHIELD
0181250000 01 PA IBC
institution
Provider Business Practice Location Address Details
Address
800 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19107-6130
Phone Number
215-829-7290
Fax Number
215-829-5430
person
Provider Business Mailing Address Details
Address
800 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19107-6130
Phone Number
215-829-7290
Fax Number
215-829-5430
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD028290E (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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