OrganizationActive
Elan Plastic Surgery PC
NPI 1063783660 · Plastic Surgery Physician · Frederick, MD
Provider details
- NPI number
- 1063783660
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paige Smith, Credentialing Manager(301) 509-4091
- License
- D0037204 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15 Wormans Mill Ct Ste L-M
Frederick, MD 21701-3019
Phone: (301) 698-2400
Fax: (301) 698-2460
Approximate (ZIP-level) locationGet directions
Mailing address
15 Wormans Mill Ct Ste L-M
Frederick, MD 21701-3019
Registry dates
- Enumerated
- 2012-01-13
- Last updated
- 2021-02-12
- Certified
- 2021-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.