Provider Demographics
NPI:1114228459
Name:SPECIALTIES OF PLASTIC, HAND AND MICROSURGERY PC
Entity type:Organization
Organization Name:SPECIALTIES OF PLASTIC, HAND AND MICROSURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SWARATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-661-5380
Mailing Address - Street 1:5750 CENTRE AVE
Mailing Address - Street 2:SUITE 180
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3721
Mailing Address - Country:US
Mailing Address - Phone:412-661-5380
Mailing Address - Fax:412-661-5381
Practice Address - Street 1:5750 CENTRE AVE
Practice Address - Street 2:SUITE 180
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3721
Practice Address - Country:US
Practice Address - Phone:412-661-5380
Practice Address - Fax:412-661-5381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA023594-E2086S0105X, 2086S0122X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Multi-Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty