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Organization

CREATIVE SURGERY ALLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization

Contact information

Practice address
46 PENINSULA CTR STE 138E, ROLLING HILLS ESTATES, CA 90274-3562
(631) 827-8159
Mailing address
46 PENINSULA CTR STE 138, ROLLING HILLS ESTATES, CA 90274-3562
(631) 827-8159

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
06/09/2017
Last updated
06/09/2017
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