| NPI | 1043226731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE MICHAEL FREEDMAN Physician/Owner 571-525-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101043977) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-04-30 |