Organization · Type 2 NPI

Fairfax Ent & Facial Plastic Surgery, PC

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Falls Church, VA

NPI number 1720259054 Active

Practice location

8120 Gatehouse Rd, #3
Falls Church, VA 22042-1204

Fax (703) 204-0114

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007X0101051134 (VA)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…

4 other providers at this address

About NPI 1720259054

Fairfax Ent & Facial Plastic Surgery, PC's National Provider Identifier is 1720259054, issued on Mar 14, 2008. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Falls Church, VA. The record was last updated on Jun 15, 2016.