Plastic Surgery, Nerve & Headache Institute Llc.

NPI 1275959371 - Specialist - 174400000X

NPI Details
NPI 1275959371
Enumeration Date 03/13/2014
Last Updated 08/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name IVICA IVICA
Position MEDICAL DOCTOR, PH.D
Phone (703) 992-9233
Fax
Practice Location
7601 LEWINSVILLE RD
SUITE 460
MC LEAN VA, 22102-2814, US
Phone (703) 992-9233
Fax
Business Location
7601 LEWINSVILLE RD
SUITE 460
MC LEAN VA, 22102-2814, US
Phone (703) 992-9233
Fax
Toxanomy
Taxonomy Code 174400000X
License State DO Columbia
License Number MD31470
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According to our database, Plastic Surgery, Nerve & Headache Institute Llc. NPI is 1275959371, taxonomy code is 174400000X and license number is MD31470, license state is located at DO Columbia. Plastic Surgery, Nerve & Headache Institute Llc. physically located at 7601 Lewinsville Rd, Mc Lean VA, 22102-2814. NPI Number 1033115704 has the healthcare provider type.

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1275959371 NPI number is provided on an as is basis without warranty of any kind. 1275959371 is maintained by the National Plan & Provider Enumeration System. The contents of Plastic Surgery, Nerve & Headache Institute Llc. are for informational purposes only.