Organization
CENTER FOR COSMETIC SURGERY, PC
Active
Other names
The Skin Center
Organization subpart
No
Provider details
NPI number
Authorized official
KYM WISE (ADMINISTRATOR)
(412) 429-1151
Entity
Organization
Contact information
Practice address
2275 SWALLOW HILL RD, SUITE 2500, PITTSBURGH, PA 15220-1656
(412) 429-1151
(412) 429-0211
Mailing address
2275 SWALLOW HILL RD, SUITE 2500, PITTSBURGH, PA 15220-1656
(412) 429-1151
(412) 429-0211
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
23471501
PA
Other
Enumeration date
10/20/2016
Last updated
11/16/2017
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