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Peninsula Plastic Surgery Center
General Practice Physician in Williamsburg, Virginia
NPI 1689731986

Peninsula Plastic Surgery Center is a General Practice Physician based in Williamsburg, VA. Peninsula Plastic Surgery Center practices in Williamsburg, VA. The NPI Number for Peninsula Plastic Surgery Center is 1689731986 and holds a License No. 0101052484 (Virginia).

The current practice location address for Peninsula Plastic Surgery Center is 324 Monticello Ave, Williamsburg, VA and can be reached out via phone at 757-229-5200 and via fax at 757-229-2692.

Location: 324 Monticello Ave, Williamsburg, VA, 23185-2834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689731986
Provider Name
Peninsula Plastic Surgery Center
Credential
Provider Entity Type
Organization
Address
324 Monticello Ave, Williamsburg, VA, 23185-2834
Phone Number
757-229-5200
Fax Number
757-229-2692
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140457 01 VA ANTHEM
213427 01 VA CIGNA
121242 01 VA SOUTHERN HEALTH
620043172 01 VA RAILROAD MEDICARE
432612 01 VA UNITED HEALTHCARE
5209080 01 VA AETNA
007601328 05 VA
54536 01 VA SENTARA OPTIMA
institution
Provider Business Practice Location Address Details
Address
324 Monticello Ave
City
Williamsburg
State
Virginia
Zip
23185-2834
Phone Number
757-229-5200
Fax Number
757-229-2692
person
Provider Business Mailing Address Details
Address
324 Monticello Ave
City
Williamsburg
State
Virginia
Zip
23185-2834
Phone Number
757-229-5200
Fax Number
757-229-2692
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
()
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
()
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101052484 (Virginia)
Definition
Definition to come...
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