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CALABRETTA COSMETIC SURGERY CENTER PLLC NPI 1558300301


NPI Information

NPI: 1558300301
Provider Name: CALABRETTA COSMETIC SURGERY CENTER PLLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1918 RANDOLPH RD
STE 850 CALABRETTA COSMETIC SURGERY CENTER PLLC
CHARLOTTE, NC
ZIP 28207
Phone: (704) 444-5800
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CALABRETTA COSMETIC SURGERY CENTER PLLC is a plastic and reconstructive surgery surgery in Charlotte, NC. The provider is a surgeon who specializes in plastic and reconstructive surgery. CALABRETTA COSMETIC SURGERY CENTER PLLC NPI is 1558300301. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1918 RANDOLPH RD
STE 850 CALABRETTA COSMETIC SURGERY CENTER PLLC
CHARLOTTE, NC
ZIP 28207
Phone: (704) 444-5800
Fax: (704) 444-5819

The provider's authorized official is Arthur M Calabretta .
The authorized official title is Plastic Surgeon and has the following contact phone number (704) 444-5800.

The enumeration date for this NPI number is 6/6/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery25696NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1891187AMEDICAIDNORTH CAROLINA

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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