| NPI | 1134309198 |
|---|---|
| Doing Business As | PLASTIC & RECONSTRUCTIVE SURGERY OF ANNAPOLIS |
| Entity Type | Organization |
| Authorized Contact | KELLY M SULLIVAN President/Owner 410-571-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |