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Organization

COSMETIC SURGERY FACILITY LLC

Active
Other names
CosmeticSurg.net
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO L RODRIGUEZ M.D. (MEDICAL DIRECTOR)
(410) 494-8100
Entity
Organization

Contact information

Practice address
1300 BELLONA AVE, SUITE C, LUTHERVILLE TIMONIUM, MD 21093-5465
(410) 494-8100
(410) 494-0815
Mailing address
1300 BELLONA AVE, SUITE C, LUTHERVILLE TIMONIUM, MD 21093-5465
(410) 494-8100
(410) 494-0815

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
D41395
MD
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1462
MD
261QA1903X
Ambulatory Surgical Clinic/Center

Other

Enumeration date
07/22/2007
Last updated
04/15/2014
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