Fairfax Ent & Facial Plastic Surgery, Pc in Falls Church - Plastic Surgery Within The Head & Neck
Fairfax Ent & Facial Plastic Surgery, Pc - NPI 1720259054
Fairfax Ent & Facial Plastic Surgery, Pc is a Plastic Surgery Within The Head & Neck in Falls Church, Virginia. Fairfax Ent & Facial Plastic Surgery, Pc practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Fairfax Ent & Facial Plastic Surgery, Pc is 1720259054. The last update date is 2016-06-15.
Fairfax Ent & Facial Plastic Surgery, Pc's current location address is 8120 Gatehouse Rd, Falls Church, Virginia. You can contact this provider via phone number 7035733687 and fax number 7032040114. The mailing address for Fairfax Ent & Facial Plastic Surgery, Pc is 8120 Gatehouse Rd, Falls Church, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairfax Ent & Facial Plastic Surgery, Pc |
|---|---|
| Address | 8120 Gatehouse Rd, Falls Church, Virginia |
| Phone Number | 7035733687 |
| Fax Number | 7032040114 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | O'Halloran R Laurence |
| Credentials | MD |
| Telephone Number | 7035733687 |
NPI Number Detail
| NPI Number | 1720259054 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2016-06-15 |
Provider Mailing Address Detail
| Address | 8120 Gatehouse Rd |
|---|---|
| City | Falls Church |
| State | Virginia (VA) |
| Post Code | 220421204 |
| Phone Number | 7035733687 |
| Fax Number | 7032040114 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 101051134 |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Post Comment/ Review Below
What is the Fairfax Ent & Facial Plastic Surgery, Pc's unique identification number?
The Fairfax Ent & Facial Plastic Surgery, Pc has been assigned the NPI (National Provider Identifier) Number 1720259054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Fairfax Ent & Facial Plastic Surgery, Pc is geographically located?
The Fairfax Ent & Facial Plastic Surgery, Pc is physically situated at the following location: 8120 Gatehouse Rd, Falls Church, VA, 220421204.
What is the Fairfax Ent & Facial Plastic Surgery, Pc's specialty and taxonomy code?
The Fairfax Ent & Facial Plastic Surgery, Pc's specialty is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code is 207Yx0007X.
On what date was the 1720259054 assigned to Fairfax Ent & Facial Plastic Surgery, Pc?
The Fairfax Ent & Facial Plastic Surgery, Pc was issued its 1720259054 on 2008-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Fairfax Ent & Facial Plastic Surgery, Pc most recently updated or refreshed?
The details pertaining to the Fairfax Ent & Facial Plastic Surgery, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-06-15.