# MADISON TOWER PLASTIC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326442583
- **Authorized official:** SHAHRAM SALEMY MD (OWNER)
- **Authorized official phone:** (206) 467-1101

## Contact information

- **Practice address:** 1101 MADISON ST, SUITE 1101, SEATTLE, WA 98104-1306
- **Practice address phone:** (206) 467-1101
- **Mailing address:** 1101 MADISON ST, SUITE 1101, SEATTLE, WA 98104-1306
- **Mailing address phone:** (206) 467-1101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF.FS.60430558 | WA | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 10/17/2014