# PRIME FACIAL PLASTIC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184467847
- **Authorized official:** JIGAR SITAPARA MD (CEO)
- **Authorized official phone:** (301) 301-7272

## Contact information

- **Practice address:** 10285 LITTLE PATUXENT PKWY STE 250, COLUMBIA, MD 21044-3412
- **Practice address phone:** (301) 302-7272
- **Mailing address:** 6050 BRICKER RD, DAYTON, MD 21036-1248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2024
- **Last updated:** 06/18/2024