Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Surgery of the Hand |
2082S0105X | 02 | Physician/General Surgery |
| NPI Number | 1104877729 |
| LBN Legal business name | AESTHETIC CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY, LLP |
| Authorized official | JAMES ROGERS - (PARTNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/16/2006 |
| Last updated | 01/22/2015 - About 11 years ago |
| Identifiers | n/a |
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