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Organization

W GREGORY CHERNOFF MD PC

Active
Other names
CHERNOFF AND ASSOCIATES COSMETIC SURGEONS
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE LEONETTI RN (OFFICE MGR)
(317) 573-8899
Entity
Organization

Contact information

Practice address
9002 N MERIDIAN ST, SUITE 205, INDIANAPOLIS, IN 46260-5381
(317) 573-8899
(317) 818-2008
Mailing address
9002 N MERIDIAN ST, SUITE 205, INDIANAPOLIS, IN 46260-5381
(317) 573-8899
(317) 818-2008

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
208200000X
Plastic Surgery Physician
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Other

Enumeration date
03/09/2007
Last updated
10/30/2008
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