Organization · Type 2 NPI

Breast Reconstruction Specialists LLC

Specialist · Leesburg, VA

NPI number 1184093577 Active

Practice location

224-CORNWALL Street, NW, Suite 300
Leesburg, VA 20176-2704

Call (703) 777-7477 Map

Fax (571) 291-2452

Mailing address

224-D Cornwall Street, NW, Suite 300
Leesburg, VA 20176-2704

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0101056821 (VA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1184093577

Breast Reconstruction Specialists LLC's National Provider Identifier is 1184093577, issued on Sep 16, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Leesburg, VA. The record was last updated on Sep 16, 2015.