Organization
PLASTIC SURGERY CENTER OF MARYLAND PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM L BASNER M.D. (PRESIDENT)
(410) 616-3000
Entity
Organization
Contact information
Practice address
1304 BELLONA AVE, LUTHERVILLE, MD 21093-5425
(410) 616-3000
(410) 616-2999
Mailing address
1304 BELLONA AVE, LUTHERVILLE, MD 21093-5425
(410) 616-3000
(410) 616-2999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
07/27/2010
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