Organization
RECONSTRUCTIVE PLASTIC SURGERY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA MIRALIAKBARI M.D. (OWNER)
(703) 645-0077
Entity
Organization
Contact information
Practice address
3289 WOODBURN RD, SUITE 245, ANNANDALE, VA 22003-6800
(703) 645-0077
(703) 645-0130
Mailing address
3289 WOODBURN RD, SUITE 245, ANNANDALE, VA 22003
(703) 645-0077
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
101243338
VA
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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