NPI 1063783660

Elan Plastic Surgery PC

Organisation Plastic Surgery Physician Frederick, MD

Practice location

Address: 15 Wormans Mill CT STE L-M, Frederick, MD 21701-3019
Phone: (301) 698-2400
Fax: (301) 698-2460

Authorised official

Name: Paige Smith
Title: Credentialing Manager
Phone: (301) 509-4091

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence D0037204 (MD)

Other Plastic Surgery providers in Maryland →

Registry record

NPI: 1063783660
Entity type: Organization
NPI issued: 13 Jan 2012
Record last updated: 12 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.