Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1639577794 |
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| LBN Legal business name | PETRUNGARO PLASTIC SURGERY, LLC | ||||||||||||||||
| Authorized official | JASON PETRUNGARO - (PRESIDENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 12/05/2014 | ||||||||||||||||
| Last updated | 05/08/2015 - About 11 years ago | ||||||||||||||||
| Identifiers |
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PETRUNGARO PLASTIC SURGERY, LLC