Organization
CUSIMANO PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS FALLIN (BILLING MANAGER)
(225) 532-4064
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD STE 102, BATON ROUGE, LA 70808-4363
(225) 532-4064
Mailing address
7353 HIGHLAND RD # B398, BATON ROUGE, LA 70808-6641
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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