Organization
COSMETIC PLASTIC SURGERY AND LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE DIMERCURIO M.D. (PRESIDENT)
(301) 714-4466
Entity
Organization
Contact information
Practice address
49 ST. PAUL DRIVE, CHAMBERSBURG, PA 17201
(717) 261-1620
(717) 261-5912
Mailing address
49 ST PAUL DR, CHAMBERSBURG, PA 17201-1020
(717) 261-1620
(717) 261-5912
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
05/02/2022
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