National Provider Identifier Database

ELITE SURGICAL SERVICES LLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

ELITE SURGICAL SERVICES, LLC
10518 TANAGER LN
POTOMAC, MD20854-6315
Phone: 240-603-0445
Fax:
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for ELITE SURGICAL SERVICES, LLC

NPI Number 1992174221
Legal business name
LBN
ELITE SURGICAL SERVICES, LLC
Authorized official GEORGE RESTA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/16/2015
Last updated 09/16/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: D65116

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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