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DELAWARE VALLEY PLASTIC SURGERY P.A. NPI 1184760183


NPI Information

NPI: 1184760183
Provider Name: DELAWARE VALLEY PLASTIC SURGERY, P.A.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 31D2056628

Address:
1734 MARLTON PIKE EAST
CHERRY HILL, NJ
ZIP 08003
Phone: (856) 797-0202
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DELAWARE VALLEY PLASTIC SURGERY, P.A. is a plastic and reconstructive surgery surgery in Cherry Hill, NJ. The provider is a surgeon who specializes in plastic and reconstructive surgery. DELAWARE VALLEY PLASTIC SURGERY, P.A. NPI is 1184760183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1734 MARLTON PIKE EAST
CHERRY HILL, NJ
ZIP 08003
Phone: (856) 797-0202
Fax: (856) 751-7700

The provider's authorized official is Evan S. Sorokin .
The authorized official title is Owner and has the following contact phone number (856) 797-0202.

The CLIA number assigned to this NPI record is 31D2056628 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 1/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery25MA07541400NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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