| NPI | 1790940997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER Z. HAVERBACK, M.D. President/Owner 301-657-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D05089) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: DC MD25318) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |