NPI 1134619166

Aesthetic Center for Plastic Surgery

Organisation Plastic and Reconstructive Surgery Physician Mc Lean, VA

Practice location

Address: 6845 Elm St STE 708, Mc Lean, VA 22101-3851
Phone: (703) 893-1111
Fax: (703) 760-9565

Authorised official

Name: Gloria Duda
Title: President
Phone: (703) 893-1111

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 0101039385 (VA)

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Registry record

NPI: 1134619166
Entity type: Organization
NPI issued: 15 May 2018
Record last updated: 15 May 2018

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.