THE RENAISSANCE CENTER FOR PLASTIC SURGERY NPI 1952323099

NPI Information

THE RENAISSANCE CENTER FOR PLASTIC SURGERY is a specialist in Fairfax, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THE RENAISSANCE CENTER FOR PLASTIC SURGERY NPI is 1952323099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3700 JOSEPH SIEWICK DR
SUITE 301
FAIRFAX, VA
ZIP 22033-744
Phone: (703) 264-0904
Fax: (703) 264-0906

The provider's authorized official is Andrew G. Goldberg .
The authorized official title is President and has the following contact phone number (703) 264-0904.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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