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Contact Information

COSMETIC SURGERY FACILITY LLC
1300 BELLONA AVE
SUITE C
LUTHERVILLE-TIMONIUM, MD21093-5465
 Phone: 410-494-8100
 Fax: 410-494-0815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COSMETIC SURGERY FACILITY LLC

NPI # 1578763199
LBN Legal business name COSMETIC SURGERY FACILITY LLC
Authorized official RICARDO RODRIGUEZ - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2007
Last updated 04/15/2014 - About 12 years ago
Identifiers
MD License # A1462
MD License # D41395
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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