NPI 1992759997

Suburban Plastic Surgeons PC

Organisation Plastic Surgery Physician Jenkintown, PA

Practice location

Address: 1250 Greenwood Ave Suite 14, Jenkintown, PA 19046-2902
Phone: (215) 572-6888
Fax: (215) 572-5905

Authorised official

Name: Charles David Long
Title: Pres Owner
Phone: (215) 572-6888

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD043562L (PA)

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Registry record

NPI: 1992759997
Entity type: Organization
NPI issued: 22 May 2006
Record last updated: 17 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.