Organization
ESSNV SURGICAL SUITES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARI RICHARD (BILLER)
(571) 349-2191
Entity
Organization
Contact information
Practice address
3998 FAIR RIDGE DR, FAIRFAX, VA 22033-2907
(571) 349-2191
Mailing address
3998 FAIR RIDGE DR, FAIRFAX, VA 22033-2907
(571) 349-2191
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
08/16/2022
Last updated
06/08/2023
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