Organization
EYE AND FACIAL PLASTIC SURGERY CONSULTANTS LLC
Active
Organization
EYE AND FACIAL PLASTIC SURGERY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN B BRACKUP MD (MD OWNER)
(215) 750-9400
Entity
Organization
Contact information
Practice address
1203 NEWTOWN-LANGHORNE ROAD, SUITE 120, LANGHORNE, PA 19047
(215) 750-9400
(215) 750-7400
Mailing address
1111 SCHROCK RD STE 200, COLUMBUS, OH 43229-1155
(614) 502-7240
(866) 209-8989
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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