Organization · Type 2 NPI
Mid Atlantic Plastic & Reconstructive Surgery
Plastic and Reconstructive Surgery Physician · Frederick, MD
NPI number
1285578658
Active
Practice location
56 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4860
Fax (301) 662-4011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
Other plastic and reconstructive surgery physician providers in Frederick
About NPI 1285578658
Mid Atlantic Plastic & Reconstructive Surgery's National Provider Identifier is 1285578658, issued on Apr 16, 2026. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Frederick, MD. The record was last updated on Apr 16, 2026.