RESTON EAR NOSE AND THROAT PC NPI 1508961087

NPI Details

RESTON EAR NOSE AND THROAT PC is an otolaryngology in Reston, VA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. RESTON EAR NOSE AND THROAT PC NPI is 1508961087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1860 TOWN CENTER DR
SUITE 335
RESTON, VA
ZIP 20190-896
Phone: (703) 787-3322
Fax: (703) 787-3380

The provider's authorized official is Edwin J Lee .
The authorized official title is President and has the following contact phone number (703) 787-3322.

The CLIA number assigned to this NPI record is 49D1066097 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 7/7/2010.

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: