Organization
NATIONAL CENTER FOR PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L VENTURI MD (PHYSICIAN)
(703) 287-8277
Entity
Organization
Contact information
Practice address
7601 LEWINSVILLE RD, STE 400, MC LEAN, VA 22102-2814
(703) 287-8277
(703) 287-8278
Mailing address
7601 LEWINSVILLE RD, STE 400, MC LEAN, VA 22102-2814
(703) 287-8277
(703) 287-8278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101233860
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129497
MEDICARE PTAN
VA
01
—
131415YLT
MEDICARE GROUP MEMBER PTAN
VA
Enumeration date
01/15/2010
Last updated
01/15/2010
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