Healthcare Provider Details

I. General information

NPI: 1659388841
Provider Name (Legal Business Name): COSMETIC SURGERY ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 02/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6430 ROCKLEDGE DR SUITE 100
BETHESDA MD
20817-1805
US

IV. Provider business mailing address

6430 ROCKLEDGE DR SUITE 100
BETHESDA MD
20817-1805
US

V. Phone/Fax

Practice location:
  • Phone: 301-493-4334
  • Fax: 301-493-4420
Mailing address:
  • Phone: 301-493-4334
  • Fax: 301-493-4420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANKLIN D. RICHARDS
Title or Position: PRINCIPAL/PARTNER
Credential: M.D.
Phone: 301-493-4334