National Provider Identifier Database

PHILADELPHIA FACIAL PLASTIC SURGERY MEDSPA
Plastic Surgery Within the Head and Neck

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.


Contact Information

PHILADELPHIA FACIAL PLASTIC SURGERY & MEDSPA
456 N 5TH ST
SUITE 3
PHILADELPHIA, PA19123
Phone: 215-273-3223
Fax:
Website:
Specialty Taxonomy Code
* Plastic Surgery Within the Head and Neck 2082S0099X

* Indicates primary specialty

NPI Profile & details for PHILADELPHIA FACIAL PLASTIC SURGERY & MEDSPA

NPI Number 1598503633
Legal business name
LBN
PHILADELPHIA FACIAL PLASTIC SURGERY & MEDSPA
Authorized official THOMAS SPALLA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/15/2024
Last updated 07/15/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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