Organization
PLASTIC SURGERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA REGINATO (OFFICE MANAGER)
(301) 791-1800
Entity
Organization
Contact information
Practice address
1140 CONRAD CT, HAGERSTOWN, MD 21740-5905
(301) 791-1800
(301) 791-9253
Mailing address
1140 CONRAD CT, HAGERSTOWN, MD 21740-5905
(301) 791-1800
(301) 791-9253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0052231
MD
Other
Enumeration date
02/05/2008
Last updated
04/24/2024
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