Organization
LOUDOUN PLASTIC SURGERY
Active
Organization
LOUDOUN PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (PATIENT ACCOUNTS)
(631) 827-8159
Entity
Organization
Contact information
Practice address
20745 WILLIAMSPORT PL STE 100, ASHBURN, VA 20147-6518
(631) 827-8159
Mailing address
20745 WILLIAMSPORT PL STE 100, ASHBURN, VA 20147-6518
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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