Individual
DR. GEORGE W. WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1825 SAMUEL MORSE DR, RESTON, VA 20190-5317
(703) 893-6168
(703) 790-3444
Mailing address
1825 SAMUEL MORSE DR, RESTON, VA 20190-5317
(703) 893-6168
(703) 790-3444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101039622
VA
208200000X
Plastic Surgery Physician
Primary
101039622
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463704
ANTHEM NON-PAR PROVIDER #
VA
01
—
54-1828638
TAX ID #
VA
Enumeration date
08/30/2006
Last updated
08/13/2013
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