Organization
BESPOKE AESTHETIC PLASTIC SURGERY
Active
Other names
Bespoke Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
NADYA CLARKE MD (OWNER)
(301) 257-1619
Entity
Organization
Contact information
Practice address
9601 BLACKWELL RD STE 260, ROCKVILLE, MD 20850-6487
(301) 500-0215
(301) 238-7807
Mailing address
9601 BLACKWELL RD STE 260, ROCKVILLE, MD 20850-6487
(301) 500-0215
(301) 238-7807
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
10/05/2023
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