Organization
ELITE SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE RESTA III M.D. (PRESIDENT)
(240) 603-0445
Entity
Organization
Contact information
Practice address
10518 TANAGER LN, POTOMAC, MD 20854-6315
(240) 603-0445
Mailing address
10518 TANAGER LN, POTOMAC, MD 20854-6315
(240) 603-0445
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D65116
MD
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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