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Rostami Ophthalmic Plastic Consultant Llc
Specialist in Reston, Virginia
NPI 1720274350

Rostami Ophthalmic Plastic Consultant Llc is a Specialist based in Reston, VA. Rostami Ophthalmic Plastic Consultant Llc practices in Reston, VA. The NPI Number for Rostami Ophthalmic Plastic Consultant Llc is 1720274350 and holds a License No. 0101058189 (Virginia).

The current practice location address for Rostami Ophthalmic Plastic Consultant Llc is 1860 Town Center Dr, Reston, VA and can be reached out via phone at 571-203-1300 and via fax at 215-243-7546.

Location: 1860 Town Center Dr, Reston, VA, 20190-5896
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720274350
Provider Name
Rostami Ophthalmic Plastic Consultant Llc
Credential
Provider Entity Type
Organization
Address
1860 Town Center Dr, Reston, VA, 20190-5896
Phone Number
571-203-1300
Fax Number
215-243-7546
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215963517 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1860 Town Center Dr
City
Reston
State
Virginia
Zip
20190-5896
Phone Number
571-203-1300
Fax Number
215-243-7546
person
Provider Business Mailing Address Details
Address
1860 Town Center Dr
City
Reston
State
Virginia
Zip
20190-5896
Phone Number
571-203-1300
Fax Number
215-243-7546
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101058189 (Virginia)
Definition
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.
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