Organization
NEW IMAGE PLASTIC SURGERY ASSOCIATES,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA L GARTSIDE MD (OWNER)
(703) 742-8004
Entity
Organization
Contact information
Practice address
1800 TOWN CENTER DR, 412, RESTON, VA 20190-3215
(703) 742-8004
Mailing address
1800 TOWN CENTER DR, 412, RESTON, VA 20190-3215
(703) 742-8004
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101042741
VA
Other
Enumeration date
06/16/2008
Last updated
01/06/2009
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