NPI 1992094494

Nova Plastic Surgery LLC

Organisation Plastic Surgery Physician Reston, VA

Practice location

Address: 1860 Town Center Dr Suite 255, Reston, VA 20190-5896
Phone: (703) 574-2588
Fax: (703) 574-3648

Authorised official

Name: Fadi Nukta
Title: Managing Member
Phone: (703) 574-2588

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 0101248274 (VA)

Other Plastic Surgery providers in Virginia →

Registry record

NPI: 1992094494
Entity type: Organization
NPI issued: 5 Apr 2011
Record last updated: 8 Dec 2011

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.