Organization
TYSONS-MCLEAN ASC, LLC
Active
Other names
Capital Plastic Surgeons, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAVEN BARLOW M.D (SECRETARY TREASURER)
(703) 287-8277
Entity
Organization
Contact information
Practice address
7601 LEWINSVILLE RD, SUITE 440, MC LEAN, VA 22102-2814
(703) 676-3133
Mailing address
7601 LEWINSVILLE RD, SUITE 440, MC LEAN, VA 22102-2814
(703) 676-3133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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