Provider Demographics
NPI:1235670662
Name:HOLLAND PLASTIC SURGERY & AESTHETICS PA
Entity Type:Organization
Organization Name:HOLLAND PLASTIC SURGERY & AESTHETICS PA
Other - Org Name:HOLLAND PLASTIC SURGERY AND AESTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:WEILAND
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-835-4777
Mailing Address - Street 1:74 GRAY RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2062
Mailing Address - Country:US
Mailing Address - Phone:207-835-4777
Mailing Address - Fax:207-835-4779
Practice Address - Street 1:74 GRAY RD STE 1B
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2062
Practice Address - Country:US
Practice Address - Phone:207-835-4777
Practice Address - Fax:207-835-4779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-18
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty