FACIAL PLASTIC SURGICENTER NPI 1831118892

NPI Information

FACIAL PLASTIC SURGICENTER is a plastic and reconstructive surgery surgery in Baltimore, MD. The provider is a surgeon who specializes in plastic and reconstructive surgery. FACIAL PLASTIC SURGICENTER NPI is 1831118892. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1838 GREENE TREE RD
STE 370
BALTIMORE, MD
ZIP 21208
Phone: (410) 486-3400
Fax: (410) 486-0092

The provider's authorized official is Ira D Papel .
The authorized official title is Owner and has the following contact phone number (410) 486-3400.

The CLIA number assigned to this NPI record is 21D2127226 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/22/2020.

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:

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