Organization
CAPITAL PLASTIC SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL GROSS (EXECUTIVE DIRECTOR)
(301) 263-0800
Entity
Organization
Contact information
Practice address
7601 LEWINSVILLE RD, SUITE 440, MC LEAN, VA 22102-2814
(855) 594-6224
(717) 620-8720
Mailing address
7601 LEWINSVILLE RD, SUITE 440, MC LEAN, VA 22102-2814
(855) 594-6224
(717) 620-8720
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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