Organization
NORTHEAST PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BONAWITZ MD (PRESIDENT)
(207) 795-6543
Entity
Organization
Contact information
Practice address
287 MAIN ST, LEWISTON, ME 04240-7054
(207) 795-6543
Mailing address
287 MAIN ST, LEWISTON, ME 04240-7054
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
12/12/2005
Last updated
08/22/2020
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