| NPI | 1649516998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL GROSS Executive Director 301-263-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |