Organization
CENTER FOR PLASTIC & COSMETIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M FEDELE M.D. (PRESIDENT)
(216) 464-1616
Entity
Organization
Contact information
Practice address
25201 CHAGRIN BLVD, SUITE 180, BEACHWOOD, OH 44122-5600
(216) 464-1616
(216) 464-1618
Mailing address
PO BOX 1086, WILLOUGHBY, OH 44096-1086
(216) 645-7242
(440) 975-8278
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35070501F
OH
Other
Enumeration date
10/21/2006
Last updated
07/07/2015
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