Organization
LOOMIS PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO GABRIEL LOOMIS M.D. (PRESIDENT)
(845) 342-6884
Entity
Organization
Contact information
Practice address
225 DOLSON AVE, SUITE 302, MIDDLETOWN, NY 10940-6569
(845) 342-6884
(845) 342-4989
Mailing address
225 DOLSON AVE, SUITE 302, MIDDLETOWN, NY 10940-6569
(845) 342-6884
(845) 342-4989
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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