Organization
CONTEMPORARY PLASTIC SURGERY MEDICAL GROUP APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT BRUCE LAVEY MD (PRESIDENT)
(925) 820-3633
Entity
Organization
Contact information
Practice address
913 SAN RAMON VALLEY BLVD, 288, DANVILLE, CA 94526-4031
(925) 820-3633
(925) 820-3655
Mailing address
913 SAN RAMON VALLEY BLVD, 288, DANVILLE, CA 94526-4031
(925) 820-3633
(925) 820-3655
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G36751
CA
Other
Enumeration date
03/04/2011
Last updated
06/08/2011
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