Organization
FAIR OAKS SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESAM AL NOUMAN (PRESIDENT/CEO)
(703) 391-3620
Entity
Organization
Contact information
Practice address
3700 JOSEPH SIEWICK DR STE 408, FAIRFAX, VA 22033-1745
(703) 391-3620
(703) 391-3713
Mailing address
PO BOX 221135, CHANTILLY, VA 20153-1135
(703) 391-3620
(703) 391-3713
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
02/23/2017
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