Organization
ANNE M. NICKODEM, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE M NICKODEM M.D. (PRESIDENT)
(703) 560-8711
Entity
Organization
Contact information
Practice address
8229 BOONE BLVD STE 365, VIENNA, VA 22182-2623
(703) 560-8711
(703) 560-8725
Mailing address
8229 BOONE BLVD STE 365, VIENNA, VA 22182-2623
(703) 560-8711
(703) 552-2015
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101047333
VA
Other
Enumeration date
10/17/2006
Last updated
06/16/2025
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