| NPI | 1043520554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MCBRIDE MURPHY Office Manager 386-756-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME40228) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |