Provider Demographics
NPI:1003221557
Name:PAUL G. RUFF IV, PLLP
Entity Type:Organization
Organization Name:PAUL G. RUFF IV, PLLP
Other - Org Name:RUFF PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR & COO
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LASCAR
Authorized Official - Suffix:
Authorized Official - Credentials:MN, MHA, MBA
Authorized Official - Phone:202-587-5979
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:202-785-4187
Mailing Address - Fax:202-785-1370
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-785-4187
Practice Address - Fax:202-785-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30585208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty