Organization · NPI-2

Advanced Bariatric Services, PLLC

Clinic/Center · Vienna, VA

NPI number1962423749
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1962423749
Entity type
Organization (NPI-2)
Legal business name
Advanced Bariatric Services, PLLC
Organization subpart
No
Enumeration date
Jul 21, 2006
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center–VAYes

Other names

  • Uswls (Doing Business As)

Practice location

2235 Cedar Ln
Suite 302
Vienna, VA 22182-5202

Phone 703-778-6000 · Fax 703-778-6005

Mailing address

2235 Cedar Ln
Suite 302
Vienna, VA 22182-5202

Phone 703-778-6000 · Fax 703-778-6005

Authorized official

Hazem A Elariny
Practice Manager
7037786000

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