Organization
SEAN F. WOLFORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN F WOLFORT M.D. (OWNER)
(703) 242-6363
Entity
Organization
Contact information
Practice address
421 CHURCH ST NE, SUITE H, VIENNA, VA 22180-4708
(703) 242-6363
Mailing address
421 CHURCH ST NE, SUITE H, VIENNA, VA 22180
(703) 242-6363
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101238737
VA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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