Organization
TOWN CENTER PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization
Contact information
Practice address
1800 TOWN CENTER DR STE 413, RESTON, VA 20190-3240
(631) 827-8159
Mailing address
1800 TOWN CENTER DR STE 413, RESTON, VA 20190-3240
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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