Organization
IVY ASSOCIATES, L.L.C.
Active
Other names
Ivy Plastic Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO OTERO (PRESIDENT)
(202) 785-4298
Entity
Organization
Contact information
Practice address
5454 WISCONSIN AVE, THE BARLOW BUILDING, SUITE 1710, CHEVY CHASE, MD 20815-6901
(301) 654-2030
Mailing address
5454 WISCONSIN AVE, THE BARLOW BUILDING, SUITE 1710, CHEVY CHASE, MD 20815-6901
(301) 654-2030
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
06/21/2018
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