Breast Restoration Associates LLC
Plastic Surgery in Leesburg, VA. Organization (NPI-2).
NPI number1053884809
StatusActive
Last updated in NPPESJan 4, 2019
Details
- NPI
- 1053884809
- Entity type
- Organization (NPI-2)
- Legal business name
- Breast Restoration Associates LLC
- Organization subpart
- No
- Enumeration date
- Jan 4, 2019
- Last updated
- Jan 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Practice location
224d Cornwall St Nw Ste 300Leesburg, VA 20176-2704
Phone 703-777-7477 · Fax 571-291-2452
Mailing address
224d Cornwall St Nw Ste 300Leesburg, VA 20176-2704
Phone 703-777-7477 · Fax 571-291-2452
Authorized official
Behzad Parva
Owner/Surgeon
7037777477
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