OrganizationActive
Aesthetic Facial Plastic Surgery Center, Inc.
NPI 1619163706 · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Media, PA
Provider details
- NPI number
- 1619163706
- Entity type
- Organization
- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Geraldine Malloy, Credentialing Specialist
- License
- MD068106L (PA)
Practice location
101 Chesley Dr
Georgtown Building
Media, PA 19063-1761
Phone: (610) 565-6230
Fax: (570) 386-3130
Mailing address
101 Chesley Dr
Media, PA 19063-1761
Registry dates
- Enumerated
- 2007-09-21
- Last updated
- 2007-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.