Organization
AESTHETIC MEDICINE AND SURGERY, PLLC
Active
Other names
Aesthetic Medicine and Surgery, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL F SANTIAGO MD, MBA (PRESIDENT)
(443) 646-5001
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(443) 646-5001
(410) 257-7042
Mailing address
PO BOX 4, MC LEAN, VA 22101-0004
(443) 646-5001
(410) 257-7042
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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