Organization
ADVANCED HAND & RECONSTRUCTIVE PLASTIC SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL-WAHAB H SHARARAH MD (PRESIDENT)
(661) 326-2800
Entity
Organization
Contact information
Practice address
18546 ROSCOE BLVD STE 220, NORTHRIDGE, CA 91324-5455
(661) 326-2800
Mailing address
9227 RESEDA BLVD # 505, NORTHRIDGE, CA 91324-3137
(661) 326-2800
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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