Provider Demographics
NPI:1346425360
Name:PLASTIC SURGERY OF CUMBERLAND
Entity Type:Organization
Organization Name:PLASTIC SURGERY OF CUMBERLAND
Other - Org Name:DR WILLIAM E PALIN, JR
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:PALIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:301-723-4295
Mailing Address - Street 1:625 KENT AVE STE 309
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-3754
Mailing Address - Country:US
Mailing Address - Phone:301-723-4295
Mailing Address - Fax:301-777-3448
Practice Address - Street 1:625 KENT AVE STE 309
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3754
Practice Address - Country:US
Practice Address - Phone:301-723-4295
Practice Address - Fax:301-777-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00346532082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9474Medicare PIN