Nova Reconstructive and Cosmetic Surgery Pllc

NPI #1013379874 in Mc Lean, Virginia

Provider Information

NPI Number: 1013379874
Entity Type: Organization
Organization Name: Nova Reconstructive and Cosmetic Surgery Pllc
Primary Specialty: Specialist
Enumeration Date: Mar 22, 2016
Last Updated: Mar 22, 2016

Practice Location

Address: 8180 GREENSBORO DR
Address 2: #1015
City: Mc Lean
State: Virginia
ZIP Code: 22102-3888
Phone: (703) 543-9252

Authorized Official

Name: MARWAN KHALIFEH
Title: MEMBER
Phone: (202) 486-2261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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