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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FAIRFAX ENT & FACIAL PLASTIC SURGERY, PC

Active Organization

FAIRFAX ENT & FACIAL PLASTIC SURGERY, PC is a Plastic Surgery within the Head & Neck organization located in FALLS CHURCH, Virginia. NPI 1720259054 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery within the Head & Neck · FALLS CHURCH, VA

Registration Details

NPI Number
1720259054
Provider Type
Organization
NPI Issued
Mar 14, 2008 (18.442950592957 yrs)
Last Updated
Jun 15, 2016
License
0101051134 (VA)

Practice Information

Address
8120 GATEHOUSE RD
#3
FALLS CHURCH, VA, 220421204
Browse VA providers · Browse ZIP 22042
Phone
7035733687
Fax
7032040114
Primary Specialty
Plastic Surgery within the Head & Neck
207YX0007X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.