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BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY LLC NPI 1366759938


NPI Information

NPI: 1366759938
Provider Name: BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY, LLC
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
4785 DORSEY HALL DR
SUITE 111
ELLICOTT CITY, MD
ZIP 21042
Phone: (877) 917-3223
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BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY, LLC is a facial plastic surgery otolaryngology in Ellicott City, MD. The provider is an otolaryngologist who specializes in facial plastic surgery. BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY, LLC NPI is 1366759938. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4785 DORSEY HALL DR
SUITE 111
ELLICOTT CITY, MD
ZIP 21042-728
Phone: (877) 917-3223
Fax: (443) 219-0758

The provider's authorized official is Thomas T. Le .
The authorized official title is Medical Director and has the following contact phone number (877) 917-3223.

The enumeration date for this NPI number is 9/2/2010 and was last updated on 1/29/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic SurgeryD0061873MARYLANDYes

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: 5/5/2024

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