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Organization

PLASTIC SURGERY CTR PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VERNE M WEISBERG MD (MEDICAL DIRECTOR)
(207) 775-1933
Entity
Organization

Contact information

Practice address
222 ST JOHN ST, STE 321, PORTLAND, ME 04102
(207) 775-1933
(207) 871-9316
Mailing address
222 ST JOHN ST, STE 321, PORTLAND, ME 04102
(207) 775-1933
(207) 871-9316

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME

Other

Enumeration date
07/18/2007
Last updated
07/18/2007
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