Provider Demographics
NPI:1851345482
Name:ALLEGHENY CENTER FOR RECONSTRUCTIVE SURGERY
Entity Type:Organization
Organization Name:ALLEGHENY CENTER FOR RECONSTRUCTIVE SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARYEH
Authorized Official - Middle Name:LEV
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACS
Authorized Official - Phone:301-739-7790
Mailing Address - Street 1:324 EAST ANTIETAM STREET
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740
Mailing Address - Country:US
Mailing Address - Phone:301-739-7790
Mailing Address - Fax:240-420-8522
Practice Address - Street 1:324 EAST ANTIETAM STREET
Practice Address - Street 2:SUITE 303
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740
Practice Address - Country:US
Practice Address - Phone:301-739-7790
Practice Address - Fax:240-420-8522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty