Individual
DR. ANDREW LEONARD KOCHUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 SAMUEL MORSE DR, RESTON, VA 20190-5317
(703) 893-6168
Mailing address
1825 SAMUEL MORSE DR, RESTON, VA 20190-5317
(703) 893-6168
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101274320
VA
208200000X
Plastic Surgery Physician
2018-02093
NC
208200000X
Plastic Surgery Physician
D0093948
MD
208200000X
Plastic Surgery Physician
MD210002211
DC
Other
Enumeration date
08/19/2011
Last updated
04/13/2022
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