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Organization

BEAUTY MARK PLASTIC SURGERY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERIK KESHISHIAN D.O. (PRESIDENT)
(954) 593-2965
Entity
Organization

Contact information

Practice address
100 NW 82ND AVE, SUITE 405, PLANTATION, FL 33324-7809
(954) 474-3792
(954) 474-3795
Mailing address
100 NW 82ND AVE, SUITE 405, PLANTATION, FL 33324-7809
(954) 474-3792
(954) 474-3795

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
OS 10442
FL

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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