Provider Demographics
NPI:1912123894
Name:CHRISTIANA COSMETIC SURGERY CONSULTANTS LLC
Entity Type:Organization
Organization Name:CHRISTIANA COSMETIC SURGERY CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-368-9611
Mailing Address - Street 1:E 62 OMEGA PROFESSIONAL CENTER
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-368-9611
Mailing Address - Fax:302-368-3424
Practice Address - Street 1:E 62 OMEGA PROFESSIONAL CENTER
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-368-9611
Practice Address - Fax:302-368-3424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty