Aesthetic Facial Plastic Surgery Center, Inc. in Media - Plastic Surgery Within The Head And Neck
Aesthetic Facial Plastic Surgery Center, Inc. - NPI 1619163706
Aesthetic Facial Plastic Surgery Center, Inc. is a Plastic Surgery Within The Head And Neck in Media, Pennsylvania. Aesthetic Facial Plastic Surgery Center, Inc. practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Aesthetic Facial Plastic Surgery Center, Inc. is 1619163706. The last update date is 2007-09-21.
Aesthetic Facial Plastic Surgery Center, Inc.'s current location address is 101 Chesley Dr, Media, Pennsylvania. You can contact this provider via phone number 6105656230 and fax number 5703863130. The mailing address for Aesthetic Facial Plastic Surgery Center, Inc. is 101 Chesley Dr, Media, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aesthetic Facial Plastic Surgery Center, Inc. |
|---|---|
| Address | 101 Chesley Dr, Media, Pennsylvania |
| Phone Number | 6105656230 |
| Fax Number | 5703863130 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Malloy H Geraldine |
| Telephone Number | 5703862366 |
NPI Number Detail
| NPI Number | 1619163706 |
|---|---|
| Provider Enumeration Date | 2007-09-21 |
| Last Updated Date | 2007-09-21 |
Provider Mailing Address Detail
| Address | 101 Chesley Dr |
|---|---|
| City | Media |
| State | Pennsylvania (PA) |
| Post Code | 190631761 |
| Phone Number | 6105656230 |
| Fax Number | 5703863130 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
| Licence No | MD068106L |
|
Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD068106L | PA | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Aesthetic Facial Plastic Surgery Center, Inc. by the Centers for Medicare & Medicaid Services?
The Aesthetic Facial Plastic Surgery Center, Inc. has been issued the NPI (National Provider Identifier) 1619163706, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Aesthetic Facial Plastic Surgery Center, Inc.'s facilities are situated?
The facilities of Aesthetic Facial Plastic Surgery Center, Inc. are physically located at the following address: 101 Chesley Dr, Media, PA, 190631761.
What is the Aesthetic Facial Plastic Surgery Center, Inc.'s specialty and taxonomy code?
The Aesthetic Facial Plastic Surgery Center, Inc.'s specialty is Plastic Surgery Within The Head And Neck, and the corresponding taxonomy code is 2082S0099X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619163706 to Aesthetic Facial Plastic Surgery Center, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1619163706 to Aesthetic Facial Plastic Surgery Center, Inc. on 2007-09-21.
When was the information pertaining to Aesthetic Facial Plastic Surgery Center, Inc. most recently updated or revised?
The details related to Aesthetic Facial Plastic Surgery Center, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2007-09-21.