Organization
AZALEA COAST PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOR MARTIN LJUNG M.D. (PHYSICIAN)
(910) 762-1234
Entity
Organization
Contact information
Practice address
1604 PHYSICIANS DR, SUITE 103, WILMINGTON, NC 28401-7362
(910) 762-1234
(910) 762-1232
Mailing address
1604 PHYSICIANS DR, SUITE 103, WILMINGTON, NC 28401-7362
(910) 762-1234
(910) 762-1232
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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