Organization
AESTHETIC PLASTIC SURGERY OF DELAWARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN MICUN (ADMINISTRATOR)
(302) 656-0214
Entity
Organization
Contact information
Practice address
1600 PENNSYLVANIA AVE, WILMINGTON, DE 19806-4047
(302) 656-0214
Mailing address
1600 PENNSYLVANIA AVE, WILMINGTON, DE 19806-4047
(302) 656-0214
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
C1000536
DE
Other
Enumeration date
10/07/2008
Last updated
10/30/2008
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