Organization
BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS T. LE M.D. (MEDICAL DIRECTOR)
(877) 917-3223
Entity
Organization
Contact information
Practice address
4785 DORSEY HALL DR, SUITE 111, ELLICOTT CITY, MD 21042-7728
(877) 917-3223
(443) 219-0758
Mailing address
4785 DORSEY HALL DR, SUITE 111, ELLICOTT CITY, MD 21042-7728
(877) 917-3223
(443) 219-0758
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
D0061873
MD
Other
Enumeration date
09/02/2010
Last updated
01/29/2012
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