| NPI | 1215346663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE V COHEN Owner 804-288-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101236509) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-10-13 |