Organization
ELAN REISIN MD FACS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAN REISIN MD (OWNER)
(240) 560-5111
Entity
Organization
Contact information
Practice address
6420 ROCKLEDGE DR, SUITE 2300, BETHESDA, MD 20817-7837
(240) 560-5111
(240) 560-5110
Mailing address
6420 ROCKLEDGE DR, SUITE 2300, BETHESDA, MD 20817-7837
(240) 560-5111
(240) 560-5110
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101239193
MD
Other
Enumeration date
07/24/2011
Last updated
07/24/2011
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