POTOMAC PLASTIC AND RECONSTRUCTIVE SURGERY CENTER is a plastic and reconstructive surgery surgery in Rockville, MD. The provider is a surgeon who specializes in plastic and reconstructive surgery. POTOMAC PLASTIC AND RECONSTRUCTIVE SURGERY CENTER NPI is 1104190313. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
15005 SHADY GROVE RD #220 ROCKVILLE, MD ZIP 20850-340 Phone: (301) 251-1184 Fax: (301) 686-8597
The provider's authorized official is Janette Alexander . The authorized official title is Owner and has the following contact phone number (301) 251-1184.
The enumeration date for this NPI number is 3/6/2012 and was last updated on 3/6/2012.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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