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Organization

PREMIER PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES NEWMAN MD (FACILITY DIRECTOR)
(650) 321-7100
Entity
Organization

Contact information

Practice address
1795 EL CAMINO REAL, SUITE 200, PALO ALTO, CA 94306-1164
(650) 321-7100
(650) 321-3220
Mailing address
1795 EL CAMINO REAL, SUITE 200, PALO ALTO, CA 94306-1164
(650) 321-7100
(650) 321-3220

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8401
AMERICAN ASSOCIATION OF ACCREDITED AMBULATORY SURGICAL FACILITIES
CA
Enumeration date
05/18/2010
Last updated
05/18/2010
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