Individual
DR. ROBERTA LEE GARTSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 TOWN CENTER DR, SUITE 412, RESTON, VA 20190-3215
(703) 742-8004
(703) 742-3749
Mailing address
1800 TOWN CENTER DR, SUITE 412, RESTON, VA 20190-3215
(703) 742-8004
(703) 742-3749
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101042741
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6941648
—
VA
Enumeration date
02/21/2007
Last updated
07/08/2007
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