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Organization
CENTER FOR COSMETIC SURGERY, PC
Active
Organization
CENTER FOR COSMETIC SURGERY, PC
Active
Other names
The Skin Center
Organization subpart
No
Provider details
NPI number
Authorized official
KYM WISE (ADMINISTRATOR)
(412) 429-1151
Entity
Organization
Contact information
Practice address
2275 SWALLOW HILL RD, SUITE 2500, PITTSBURGH, PA 15220-1656
(412) 429-1151
(412) 429-0211
Mailing address
2275 SWALLOW HILL RD, SUITE 2500, PITTSBURGH, PA 15220-1656
(412) 429-1151
(412) 429-0211
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
23471501
PA
Other
Enumeration date
10/20/2016
Last updated
11/16/2017
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