Organization
ADVANCED CENTER FOR PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ANNE FISCHER M.D. (OWNER)
(410) 308-4700
Entity
Organization
Contact information
Practice address
12205 TULLAMORE RD, TIMONIUM, MD 21093-7816
(410) 308-4700
(410) 308-4704
Mailing address
12205 TULLAMORE RD, TIMONIUM, MD 21093-7816
(410) 308-4700
(410) 308-4704
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE0665
RAILROAD MEDICARE
GA
01
—
E422
CAREFIRST
DC
01
—
KG04AD
CAREFIRST
MD
Enumeration date
07/18/2006
Last updated
10/19/2012
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