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Organization

COLUMBIA AESTHETIC PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC CHANG MD (OWNER)
(410) 740-9330
Entity
Organization

Contact information

Practice address
8860 COLUMBIA 100 PKWY STE 314, COLUMBIA, MD 21045-2298
(410) 740-9330
(410) 740-9335
Mailing address
8860 COLUMBIA 100 PKWY STE 314, COLUMBIA, MD 21045-2298
(410) 740-9330
(410) 740-9335

Taxonomy

Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
208200000X
Plastic Surgery Physician
Primary
2086S0122X
Plastic and Reconstructive Surgery Physician

Other

Enumeration date
07/07/2006
Last updated
07/01/2024
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