Organization
COSMETIC PLASTIC SURGERY AND LASER CENTER LLC
Active
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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