Unknown Individual – Plastic and Reconstructive Surgery Physician, NPI 1659438372
Plastic and Reconstructive Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
920, Washington Boulevard, Faxon, Williamsport, Lycoming County, Pennsylvania, 17701, United States
WILLIAMSPORT, PA 177016151
Phone: (570) 322-4779
Fax: (570) 322-3196
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17701)
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