Organization
RVA PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMITA SALLY GOYAL MD (PHYSICIAN)
(703) 626-6165
Entity
Organization
Contact information
Practice address
3960 STILLMAN PKWY, GLEN ALLEN, VA 23060-4197
(804) 270-3333
Mailing address
6500 MILLER DR, ALEXANDRIA, VA 22315-3528
(703) 626-6165
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
11/11/2021
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