NPI | 1679687594 |
---|---|
Other Name | WESTERN AVENUE DAY SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | SIRISH MADDALI Medical Director 207-775-3446 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery |
Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
2086S0122X Surgery, Plastic and Reconstructive Surgery | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2025-07-01 |