Organization
AESTHETIC CENTER FOR PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA DUDA M.D. (PRESIDENT)
(703) 893-1111
Entity
Organization
Contact information
Practice address
6845 ELM ST STE 708, MC LEAN, VA 22101-3851
(703) 893-1111
(703) 760-9565
Mailing address
6845 ELM ST STE 708, MC LEAN, VA 22101-3851
(703) 893-1111
(703) 760-9565
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101039385
VA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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