Organization
ADVANCED PLASTIC SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASSIF ELIAS SOUEID M.D., F.A.C.S. (PRESIDENT)
(410) 321-0808
Entity
Organization
Contact information
Practice address
7505 OSLER DR, SUITE 403, TOWSON, MD 21204-7736
(410) 321-0808
(410) 321-0887
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140156
MEDICARE
MD
01
—
419880800
MEDICAL ASSISTANCE
MD
01
—
DQ6413
RAILROAD MEDICARE
GA
01
—
FDG1NA
CAREFIRST
MD
01
—
M775
CAREFIRST
DC
Enumeration date
12/30/2008
Last updated
12/06/2010
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