Individual provider · Type 1 NPI
Mark Christian Domanski, MD
Plastic and Reconstructive Surgery Physician · Fairfax, VA
NPI number
1992993885
Active
Practice location
8316 Arlington Blvd Ste 524
Fairfax, VA 22031-5216
Fax (703) 646-6979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0101257764 (VA) |
| Plastic Surgery Physician | 208200000X | 0101257764 (VA) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 0101257764 (VA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Another provider at this address
Other plastic and reconstructive surgery physician providers in Fairfax
About NPI 1992993885
Mark Christian Domanski, MD's National Provider Identifier is 1992993885, issued on Oct 4, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Fairfax, VA. The record was last updated on Jan 26, 2024.