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Organization

VALLEY PLASTIC SURGERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. WENDY WELLS (PURCHASING MANAGER)
(410) 628-8200
Entity
Organization

Contact information

Practice address
10153 YORK RD, SUITE 108, HUNT VALLEY, MD 21030-3398
(410) 628-8200
(410) 628-8203
Mailing address
10153 YORK RD, SUITE 108, HUNT VALLEY, MD 21030-3398
(410) 628-8200
(410) 628-8203

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D0052892
MD

Other

Enumeration date
08/15/2007
Last updated
04/20/2008
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