| NPI | 1679687594 |
|---|---|
| Other Name | WESTERN AVENUE DAY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS E VAUGHAN Medical Director 207-775-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-05-25 |