Plastic Surgery Ctr PA

NPI #1174722201 in Portland, Maine

Provider Information

NPI Number: 1174722201
Entity Type: Organization
Organization Name: Plastic Surgery Ctr PA
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Enumeration Date: Jul 18, 2007
Last Updated: Jul 18, 2007

Practice Location

Address: 222 ST JOHN ST
Address 2: STE 321
City: Portland
State: Maine
ZIP Code: 04102
Phone: (207) 775-1933

Authorized Official

Name: DR. VERNE M WEISBERG, MD
Title: MEDICAL DIRECTOR
Phone: (207) 775-1933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Richard Henry Kutz III, MD	Surgery - Plastic and Reconstructive Surgery	Portland	AI Deep Dive
Henry Hollis Caffee, MD	Surgery - Plastic and Reconstructive Surgery	Bangor	AI Deep Dive
DR. Anthony Perrone, MD	Surgery - Plastic and Reconstructive Surgery	Augusta	AI Deep Dive
Charmaine B Jensen, D.O.	Surgery - Plastic and Reconstructive Surgery	Lincolnville	AI Deep Dive

Organizations

Provider Name	Specialty	City
Maine Plastic Surgical Associates PA	Surgery - Plastic and Reconstructive Surgery	Waterville	AI Deep Dive

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