Aesthetic Center for Cosmetic and Plastic Surgery

Organization Active NPI Surgery Physician · Williamsburg, VA

NPI 1770727463 · NPPES record last updated Apr 24, 2009

Key facts

NPI
1770727463
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
License
0101041390 (VA)
Legal business name
AESTHETIC CENTER FOR COSMETIC AND PLASTIC SURGERY
Practice address
333 McLaws Circle
Suite 3
Williamsburg, VA 23185
Phone
(757) 345-0069
Fax
(757) 229-3435
NPI assigned
Apr 24, 2009
Organization subpart
Yes
Parent organization (as reported)
AESTHETIC CENTER FOR COSMETIC AND PLASTIC SURGERY

Authorized official

Name
Dr. Johnstuart Maxwell Guarnieri, M.D.
Title
Doctor/Ceo
Phone
(757) 345-0069

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Williamsburg Plastic Surgery PC (2 organizations share this tax ID)
Part of
Williamsburg Plastic Surgery PC

Locations

333 McLaws Cir
Williamsburg, VA 23185

333 McLaws Cir
Ste 3
Williamsburg, VA 23185
Phone (757) 345-2275

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X 0101041390 VA Yes

Addresses

Primary practice location

333 McLaws Circle
Suite 3
Williamsburg, VA 23185

Mailing address

333 McLaws Circle
Williamsburg, VA 23185
Phone (757) 345-0069

Other identifiers

IdentifierTypeStateIssuer
292271OtherANTHEM PROVIDER #
6901913MedicaidVA
292270OtherACCPS GROUP
351753OtherACCPS

Other providers in Williamsburg, VA

All providers in Williamsburg, VA · Surgery Physician in Virginia

Sources for this page

Verify at the official NPI Registry.