Aesthetic Center for Plastic Surgery
Organization Active NPI Plastic and Reconstructive Surgery Physician · MC Lean, VA
NPI 1134619166 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1134619166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 0101039385 (VA)
- Legal business name
- AESTHETIC CENTER FOR PLASTIC SURGERY
- Practice address
- 6845 Elm St Ste 708
MC Lean, VA 22101-3851 - Phone
- (703) 893-1111
- Fax
- (703) 760-9565
- NPI assigned
- May 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Gloria Duda, M.D.
- Title
- President
- Phone
- (703) 893-1111
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician |
2086S0122X | 0101039385 | VA | Yes |
Addresses
Primary practice location
6845 Elm St Ste 708
MC Lean, VA 22101-3851
Mailing address
6845 Elm St Ste 708
MC Lean, VA 22101-3851
Phone (703) 893-1111
Other providers in MC Lean, VA
- Emily McGovern Ackerman
- Karla Addess
- Adebunmi O Adeyiga
- Anusha Adhikari
- Adina Shapiro, LCSW
- Affect Provider Group P.S.C.
- Affect Therapeutics, Inc.
- Nazo Afzal
- Bridgette Paige Aguilar-Dishman
- Kazi Ahmed
All providers in MC Lean, VA · Plastic and Reconstructive Surgery Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.