Avalon Plastic Surgery Incorporated | |
510 Patleigh Rd Catonsville MD 21228-5600 | |
(410) 788-8471 | |
Not Available |
Full Name | Avalon Plastic Surgery Incorporated |
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Speciality | Clinic/Center |
Location | 510 Patleigh Rd, Catonsville, Maryland |
Authorized Official Name and Position | Kerry Owens (PRESIDENT) |
Authorized Official Contact | 4107888471 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avalon Plastic Surgery Incorporated 510 Patleigh Rd Catonsville MD 21228-5600 Ph: () - | Avalon Plastic Surgery Incorporated 510 Patleigh Rd Catonsville MD 21228-5600 Ph: (410) 788-8471 |
NPI Number | 1023668530 |
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Provider Enumeration Date | 09/17/2019 |
Last Update Date | 09/17/2019 |
Medicare PECOS PAC ID | 8325477086 |
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Medicare Enrollment ID | O20200331002154 |
Identifier | Type | State | Issuer |
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1023668530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kerry E Owens |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1134128903 PECOS PAC ID: 5799846978 Enrollment ID: I20081205000550 |
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