| 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 |