| NPI | 1992149686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG R DUFRESNE President 703-207-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |