NPI 1104190313

Potomacplasticandreconstructivesurgerycenterjanettealexandermdpa

Organisation Plastic and Reconstructive Surgery Physician Rockville, MD

Practice location

Address: 15005 Shady Grove Rd #220, Rockville, MD 20850-6340
Phone: (301) 251-1184
Fax: (301) 686-8597

Authorised official

Name: Janette Alexander
Title: Owner
Phone: (301) 251-1184

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence D34637 (MD)

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Registry record

NPI: 1104190313
Entity type: Organization
NPI issued: 6 Mar 2012
Record last updated: 6 Mar 2012

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.