Provider Demographics
NPI:1235470956
Name:GIESSWEIN PLASTIC SURGERY LLC
Entity Type:Organization
Organization Name:GIESSWEIN PLASTIC SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:GIESSWEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-249-2424
Mailing Address - Street 1:129 BRINDLE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-9780
Mailing Address - Country:US
Mailing Address - Phone:717-795-2938
Mailing Address - Fax:717-795-2938
Practice Address - Street 1:5 BROOKWOOD AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9576
Practice Address - Country:US
Practice Address - Phone:717-249-2424
Practice Address - Fax:717-249-4534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040737L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty