| NPI | 1174625552 |
|---|---|
| Doing Business As | PLASTIC & RECON SURGERY ASSOCIATES OF FCCC |
| Entity Type | Organization |
| Authorized Contact | ROBERT BECK Senior Vice President 215-214-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 284300000X Special Hospital (Licence: PA 012901) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2012-02-02 |