NPI 1548420243

New Image Plastic Surgery Associates,plc

Organisation Plastic Surgery Physician Reston, VA

Practice location

Address: 1800 Town Center Dr 412, Reston, VA 20190-3215
Phone: (703) 742-8004

Authorised official

Name: Roberta L Gartside
Title: Owner
Phone: (703) 742-8004

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 0101042741 (VA)

Other Plastic Surgery providers in Virginia →

Registry record

NPI: 1548420243
Entity type: Organization
NPI issued: 16 Jun 2008
Record last updated: 6 Jan 2009

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.