Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD6745 | DC |
NPI | 1013082197 |
---|---|
Provider Name | Dr. Steven Macht |
First Address | Washington, DC 20006-1003 |
Second Address | Washington, DC 20006-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C-61438 | (02) | DC |