| Organization Name: | BEL AIR CENTER FOR PLASTIC AND HAND SURGERY |
| NPI Number: | 1043432297 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIE L CAO (OFFICE MANAGER) |
| Mailing Address: | 2012 S Tollgate Rd Suite 100 Bel Air |
| State: | MD US |
| Postal Code: | 210155900 |
| Phone Number: | 4105695155 |
| Fax Number: | 4105695166 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 02/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 04344 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |