| NPI | 1992964811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JUSTIN GERMAIN Plastic Surgeon 703-442-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101238468) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2012-01-25 |