Suburban Plastic Surgeons Pc

LBN: Suburban Plastic Surgeons Pc
Suburban Plastic Surgeons Pc is an health care organization with primary practice located at 1250 Greenwood Ave Suite 14, Jenkintown PA 19046-2902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Suburban Plastic Surgeons Pc can be contacted via phone (215) 572-6888, or through Long, Charles David via phone (215) 572-6888.

Contact Information

Primary practice address
1250 Greenwood Ave Suite 14 Jenkintown PA 19046-2902
Fax: (215) 572-5905
Website:
Authorized official contact:
Name: Long, Charles David Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD043562L Pennsylvania

Profile Details

NPI number 1992759997
LBN Legal business name Suburban Plastic Surgeons Pc
DBA Doing business as
Authorized official Long, Charles David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Jun 17th, 2010 - about 15 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 1992759997 NPPES
Other 0016511000 KEYSTONE HEALTH PLAN
Other 052949 KEYSTONE HEALTH PLAN
Other 052949 KEYSTONE HEALTH PLAN
MEDICAID 0018274790004 KEYSTONE HEALTH PLAN

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