Organization · Type 2 NPI
Plastic Surgery CTR PA
Plastic and Reconstructive Surgery Physician · Portland, ME
NPI number
1174722201
Active
Practice location
222 St John St, Ste 321
Portland, ME 04102
Fax (207) 871-9316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
About NPI 1174722201
Plastic Surgery CTR PA's National Provider Identifier is 1174722201, issued on Jul 18, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Portland, ME. The record was last updated on Jul 18, 2007.