| NPI | 1982900221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE MARIALICE BURTON Chief Operating Officer 301-441-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0052974) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |