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Organization

PLASTIC AND RECONSTRUCTIVE SURGEONS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHIRLEY A SHAFFER (OFFICE MANAGER)
(570) 821-2820
Entity
Organization

Contact information

Practice address
1130 HIGHWAY 315, WILKES BARRE, PA 18702-6952
(570) 821-2820
(570) 825-7962
Mailing address
1130 HIGHWAY 315, WILKES BARRE, PA 18702-6952
(570) 821-2820
(570) 825-7962

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
08/31/2006
Last updated
08/22/2020
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