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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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