Ivo Alexander Pestana in Winston Salem - Plastic Surgery
Ivo Alexander Pestana - NPI 1881861730
Ivo Alexander Pestana is a Plastic Surgery in Winston Salem, North Carolina. Ivo Alexander Pestana practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Ivo Alexander Pestana is 1881861730. The last update date is 2010-11-15.
Ivo Alexander Pestana's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255 and fax number 3367168759. The mailing address for Ivo Alexander Pestana is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ivo Alexander Pestana |
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Address | Po Box 344, Winston Salem, North Carolina |
Phone Number | 3367162255 |
Fax Number | 3367168759 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1881861730 |
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Provider Enumeration Date | 2008-05-09 |
Last Updated Date | 2010-11-15 |
Provider Mailing Address Detail
Address | Po Box 344 |
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City | Winston Salem |
State | North Carolina (NC) |
Post Code | 271020344 |
Phone Number | 3367162255 |
Fax Number | 3367168759 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery |
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Taxonomy | 208200000X |
Licence No | 2007-01980 |
Definition: 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 c |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5915152 | NC | -- |
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What is the Ivo Alexander Pestana's 1881861730?
The Ivo Alexander Pestana's NPI (National Provider Identifier) Number is 1881861730. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ivo Alexander Pestana?
The Ivo Alexander Pestana is situated at Po Box 344, in the city of Winston Salem, state of NC, with the zip code 271020344.
What is the Ivo Alexander Pestana's specialty and taxonomy code?
The Ivo Alexander Pestana's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.
On what date did the Ivo Alexander Pestana receive the assignment of its 1881861730 from the Centers for Medicare & Medicaid Services?
The Ivo Alexander Pestana was issued its 1881861730 by the Centers for Medicare & Medicaid Services on 2008-05-09.
When was the Ivo Alexander Pestana's information last updated?
The Ivo Alexander Pestana's information was last updated on 2010-11-15.