Specialists In Plastic Surgery Pa

LBN: Specialists In Plastic Surgery Pa
Specialists In Plastic Surgery Pa is an health care organization with primary practice located at 3633 Harden Rd Ste 200, Raleigh NC 27607-3369. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Specialists In Plastic Surgery Pa can be contacted via phone (919) 785-0505, or through Russell, Roger B via phone (919) 785-0505.

Contact Information

Primary practice address
3633 Harden Rd Ste 200 Raleigh NC 27607-3369
Phone: (919) 785-0505
Fax: (919) 785-0205
Website:
Map and Directions
Authorized official contact:
Name: Russell, Roger B Doctor of Medicine (MD)
Phone: (919) 785-0505

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1760482210
LBN Legal business name Specialists In Plastic Surgery Pa
DBA Doing business as
Authorized official Russell, Roger B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2005
Last updated Feb 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760482210 NPPES
North Carolina Other 011EM BCBS
North Carolina MEDICAID 89011EM BCBS

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