Whalio Doctors

NPI 1043226731

Plastic Surgery Associates of Northern Virginia, LTD

Organisation Plastic Surgery Physician Reston, VA

Practice location

Address
1860 Town Center Dr STE 180, Reston, VA 20190-5905
Phone
(571) 525-2316
Fax
(571) 313-0415

Authorised official

Name
Bruce Michael Freedman
Title
Physician/Owner
Phone
(571) 525-2316

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 0101043977 (VA)

Registry record

NPI
1043226731
Entity type
Organization
NPI issued
1 Aug 2006
Record last updated
30 Apr 2020

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.