Individual
VICTORIA LEE VASTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
595 MARTHA JEFFERSON DR STE 280, CHARLOTTESVILLE, VA 22911-4669
(434) 654-8920
(434) 654-8921
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 654-7752
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101057657
VA
Other
Enumeration date
04/14/2006
Last updated
01/09/2018
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