Organization
MAIA PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNIQUE MAIA M.D. (PLASTIC SURGEON)
(703) 574-4500
Entity
Organization
Contact information
Practice address
8100 BOONE BOULEVARD, SUITE 730, TYSONS CORNER, VA 22182-2688
(703) 574-4500
(443) 949-7508
Mailing address
8300 GREENSBORO DR STE L1-180, MC LEAN, VA 22102-3605
(703) 574-4500
(443) 949-7508
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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