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Organization

PLASTIC SURGERY ASSOCIATES OF NORTHERN VIRGINIA, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE MICHAEL FREEDMAN MD (PHYSICIAN/OWNER)
(571) 525-2316
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
0101043977
VA

Other

Enumeration date
08/01/2006
Last updated
04/30/2020
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