Organization · Type 2 NPI
Aesthetic & Laser Plastic Surgery Center
Ambulatory Surgical Clinic/Center · Vienna, VA
NPI number
1588095525
Active
Practice location
502 Maple Ave W
Vienna, VA 22180-4239
Mailing address
502 Maple Ave, West
Vienna, VA 22180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 56390-MD (VA) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
Other ambulatory surgical clinic/center providers in Vienna
About NPI 1588095525
Aesthetic & Laser Plastic Surgery Center's National Provider Identifier is 1588095525, issued on Dec 2, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Vienna, VA. The record was last updated on Dec 2, 2013.