Healthcare Provider Details

I. General information

NPI: 1932354180
Provider Name (Legal Business Name): NORTH BETHESDA PLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 12/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11210 OLD GEORGETOWN RD
NORTH BETHESDA MD
20852-3202
US

IV. Provider business mailing address

11210 OLD GEORGETOWN RD
NORTH BETHESDA MD
20852-3202
US

V. Phone/Fax

Practice location:
  • Phone: 301-881-7770
  • Fax: 301-984-8601
Mailing address:
  • Phone: 301-881-7770
  • Fax: 301-984-8601

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. KATHY HUANG
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 301-881-7770