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 |