Organization
PRIME FACIAL PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIGAR SITAPARA MD (CEO)
(301) 301-7272
Entity
Organization
Contact information
Practice address
10285 LITTLE PATUXENT PKWY STE 250, COLUMBIA, MD 21044-3412
(301) 302-7272
Mailing address
6050 BRICKER RD, DAYTON, MD 21036-1248
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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