NPI | 1063783660 |
---|---|
Entity Type | Organization |
Authorized Contact | PAIGE SMITH Credentialing Manager 301-509-4091 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D0037204) |
Enumeration Date | 2012-01-13 |
Last Update Date | 2021-02-12 |