Organization
LASER AND COSMETIC SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD J LEVANDOSKI M.D. (OWNER)
(570) 288-1600
Entity
Organization
Contact information
Practice address
1516 WYOMING AVE, FORTY FORT, PA 18704-4225
(570) 288-1600
(570) 288-4080
Mailing address
1516 WYOMING AVE, FORTY FORT, PA 18704-4225
(570) 288-1600
(570) 288-4080
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD034037E
PA
Other
Enumeration date
08/10/2006
Last updated
05/15/2008
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