CENTER FOR PLASTIC & COSMETIC SURGERY INC NPI 1659454163

NPI Information

CENTER FOR PLASTIC & COSMETIC SURGERY INC is a plastic and reconstructive surgery surgery in Beachwood, OH. The provider is a surgeon who specializes in plastic and reconstructive surgery. CENTER FOR PLASTIC & COSMETIC SURGERY INC NPI is 1659454163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25201 CHAGRIN BLVD
SUITE 180
BEACHWOOD, OH
ZIP 44122-600
Phone: (216) 464-1616
Fax: (216) 464-1618

The provider's authorized official is Gregory M Fedele .
The authorized official title is President and has the following contact phone number (216) 464-1616.

The CLIA number assigned to this NPI record is 36D2168625 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2006 and was last updated on 7/7/2015.

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:

Other Identifiers

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