Organization
AESTHETIC CENTER FOR COSMETIC AND PLASTIC SURGERY
Active
Parent organization
AESTHETIC CENTER FOR COSMETIC AND PLASTIC SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AESTHETIC CENTER FOR COSMETIC AND PLASTIC SURGERY
Authorized official
DR. JOHNSTUART MAXWELL GUARNIERI M.D. (DOCTOR/CEO)
(757) 345-0069
Entity
Organization
Contact information
Practice address
333 MCLAWS CIRCLE, SUITE 3, WILLIAMSBURG, VA 23185
(757) 345-0069
(757) 229-3435
Mailing address
333 MCLAWS CIRCLE, WILLIAMSBURG, VA 23185
(757) 345-0069
(757) 229-3435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101041390
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292270
ACCPS GROUP
—
01
—
292271
ANTHEM PROVIDER #
—
01
—
351753
ACCPS
—
05
—
6901913
—
VA
Enumeration date
04/24/2009
Last updated
04/24/2009
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