COSMETIC SURGERY FACILITY LLC
Organization Subpart: NO
Other Name: Doing Business As: COSMETICSURG.NET
NPI: 1578763199
Last Updated: 2014-04-15
Details
Name | Value | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1578763199 | ||||||||||||||||
Enumeration Date | 2007-07-22 | ||||||||||||||||
NPI Type | 2- Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address |
1300 BELLONA AVE
SUITE C
LUTHERVILLE TIMONIUM, MD 21093-5465 United States Phone: 410-494-8100 | Fax: 410-494-0815 View Map ![]() |
||||||||||||||||
Primary Practice Address |
1300 BELLONA AVE
SUITE C
LUTHERVILLE TIMONIUM, MD 21093-5465 United States Phone: 410-494-8100 | Fax: 410-494-0815 View Map ![]() |
||||||||||||||||
Authorized Official Information |
Name: DR.
RICARDO
L
RODRIGUEZ
M.D.
Title: MEDICAL DIRECTOR Phone: 410-494-8100 |
||||||||||||||||
Taxonomy |
|
||||||||||||||||
Other Identifiers |
|