Organization
EYELID & OCULOPLASTIC CONSULTANTS, PC
Active
Other names
The Face Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAMES MITSCH M.D. (PRESIDENT)
(757) 496-4864
Entity
Organization
Contact information
Practice address
1821 OLD DONATION PKWY, SUITE 6, VIRGINIA BEACH, VA 23454-3033
(757) 496-4864
(757) 496-4942
Mailing address
1821 OLD DONATION PKWY, SUITE 6, VIRGINIA BEACH, VA 23454-3033
(757) 496-4864
(757) 496-4942
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101052465
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6900925
—
VA
Enumeration date
05/10/2007
Last updated
08/22/2020
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