Provider Demographics
NPI:1215182415
Name:WRIGHT PLASTIC SURGERY, P.C.
Entity Type:Organization
Organization Name:WRIGHT PLASTIC SURGERY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-886-8123
Mailing Address - Street 1:300 E EVANS ST
Mailing Address - Street 2:APT. P167
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2739
Mailing Address - Country:US
Mailing Address - Phone:484-886-8123
Mailing Address - Fax:610-696-4986
Practice Address - Street 1:1098 W BALTIMORE PIKE
Practice Address - Street 2:HEALTH CARE CENTER II, SUITE 3306
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5139
Practice Address - Country:US
Practice Address - Phone:610-565-2848
Practice Address - Fax:610-892-9127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty