Organization
FSLJC, LLC.
Active
Other names
THE RENAISSANCE CENTER FOR PLASTIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN J COLLINI RT (R) RDMS RDCS (ADMINISTRATOR)
(570) 674-6525
Entity
Organization
Contact information
Practice address
1845 MEMORIAL HWY, SHAVERTOWN, PA 18708-1482
(570) 674-6525
(570) 674-6520
Mailing address
1845 MEMORIAL HWY, SHAVERTOWN, PA 18708-1482
(570) 674-6525
(570) 674-6520
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
05/09/2017
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