Organization
NOVA SURGICAL ASSISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASSER THIARA MD (OWNER)
(203) 673-9656
Entity
Organization
Contact information
Practice address
540 FORT EVANS RD STE 110, LEESBURG, VA 20176-3379
(703) 777-6550
Mailing address
540 FORT EVANS RD STE 110, LEESBURG, VA 20176-3379
(703) 777-6550
(571) 775-3939
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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