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39D2053398 CLIA NUMBER - PAUL GLAT, MD, FACS

Laboratory Demographics

CLIA Number: 39D2053398

Facility Name: PAUL GLAT, MD, FACS

Facility Address:
191 PRESIDENTIAL BLVD SUITE 101
BALA CYNWYD, PA
ZIP 19004
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Facility Phone Number: 610 980-4000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1487602157

Taxonomy: 208200000X - Plastic Surgery
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.

CLIA Record

Field Name Field Value
CLIA Number 39D2053398
LAB Type Physician Office
Facility Name PAUL GLAT, MD, FACS
Street 191 PRESIDENTIAL BLVD SUITE 101
City BALA CYNWYD
State PA
ZIP 19004
Phone 610 980-4000
CertificateType 4
CertificateEffectiveDate 11/16/2022
CertificateExpirationDate 11/15/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024