# CENTER FOR COSMETIC SURGERY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Skin Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740731124
- **Authorized official:** KYM WISE (ADMINISTRATOR)
- **Authorized official phone:** (412) 429-1151

## Contact information

- **Practice address:** 2275 SWALLOW HILL RD, SUITE 2500, PITTSBURGH, PA 15220-1656
- **Practice address phone:** (412) 429-1151
- **Practice address fax:** (412) 429-0211
- **Mailing address:** 2275 SWALLOW HILL RD, SUITE 2500, PITTSBURGH, PA 15220-1656
- **Mailing address phone:** (412) 429-1151
- **Mailing address fax:** (412) 429-0211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 23471501 | PA | Yes |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 11/16/2017
