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Organization
AZALEA COAST PLASTIC SURGERY, PA
Active
Organization
AZALEA COAST PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOR MARTIN LJUNG M.D. (PHYSICIAN)
(910) 762-1234
Entity
Organization
Contact information
Practice address
1604 PHYSICIANS DR, SUITE 103, WILMINGTON, NC 28401-7362
(910) 762-1234
(910) 762-1232
Mailing address
1604 PHYSICIANS DR, SUITE 103, WILMINGTON, NC 28401-7362
(910) 762-1234
(910) 762-1232
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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