Organization
CROWELL RECONSTRUCTIVE SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY MARSHALL (PATIENT ACCOUNTS)
(443) 646-5001
Entity
Organization
Contact information
Practice address
1860 TOWN CENTER DR STE 180, RESTON, VA 20190-5905
(571) 525-2316
(571) 313-0415
Mailing address
1860 TOWN CENTER DR STE 180, RESTON, VA 20190-5905
(571) 525-2316
(571) 313-0415
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
04/30/2020
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