NPI 1013379874

Nova Reconstructive and Cosmetic Surgery PLLC

Organisation Specialist Mc Lean, VA

Practice location

Address: 8180 Greensboro Dr #1015, Mc Lean, VA 22102-3888
Phone: (703) 543-9252

Authorised official

Name: Marwan Khalifeh
Title: Member
Phone: (202) 486-2261

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0101240322 (VA)

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Registry record

NPI: 1013379874
Entity type: Organization
NPI issued: 22 Mar 2016
Record last updated: 22 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.