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CENTER FOR PROSTHETIC RESTORATION INC. NPI 1194895755


NPI Information

NPI: 1194895755
Provider Name: CENTER FOR PROSTHETIC RESTORATION, INC.
Classification: Anaplastologist - 229N00000X
Entity Type: Organization
Address:
300 E PENNSYLVANIA AVE
TOWSON, MD
ZIP 21286
Phone: (410) 377-7080
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CENTER FOR PROSTHETIC RESTORATION, INC. is an anaplastologist in Towson, MD. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). CENTER FOR PROSTHETIC RESTORATION, INC. NPI is 1194895755. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 E PENNSYLVANIA AVE
TOWSON, MD
ZIP 21286-313
Phone: (410) 377-7080
Fax: (410) 377-7082

The provider's authorized official is Paula Jeanne Sauerborn .
The authorized official title is President and has the following contact phone number (410) 377-7080.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/24/2015.


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
1229N00000XAnaplastologistYes

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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