Organization
DILWORTH FACIAL PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA B SUROWITZ M.D. (CO-OWNER)
(919) 619-0383
Entity
Organization
Contact information
Practice address
1819 LYNDHURST AVE, CHARLOTTE, NC 28203-5103
(980) 949-6544
(980) 422-0091
Mailing address
1819 LYNDHURST AVE, CHARLOTTE, NC 28203-5103
(980) 949-6544
(980) 422-0091
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2013-00940
NC
207YS0123X
Facial Plastic Surgery Physician
Primary
2013-00940
NC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
2013-00940
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
2013-00940
NC
Other
Enumeration date
11/23/2015
Last updated
04/10/2017
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