Organization
NOVA PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI NUKTA M.D (MANAGING MEMBER)
(703) 574-2588
Entity
Organization
Contact information
Practice address
1860 TOWN CENTER DR, SUITE 255, RESTON, VA 20190-5896
(703) 574-2588
(703) 574-3648
Mailing address
1860 TOWN CENTER DR, SUITE 255, RESTON, VA 20190-5896
(703) 574-2588
(703) 574-2588
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101248274
VA
Other
Enumeration date
04/05/2011
Last updated
12/08/2011
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