BLUEMONT PLASTIC SURGERY PC NPI 1023405297

NPI Information

BLUEMONT PLASTIC SURGERY, PC is a plastic and reconstructive surgery surgery in Fairfax, VA. The provider is a surgeon who specializes in plastic and reconstructive surgery. BLUEMONT PLASTIC SURGERY, PC NPI is 1023405297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8316 ARLINGTON BLVD STE 524
FAIRFAX, VA
ZIP 22031-216
Phone: (703) 596-1660

The provider's authorized official is Mark Christian Domanski .
The authorized official title is President and has the following contact phone number (703) 596-1660.

The enumeration date for this NPI number is 4/24/2015 and was last updated on 7/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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