NPI | 1699426007 |
---|---|
Doing Business As | COASTAL VIRGINIA PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | ERIC MICHAEL JABLONKA Plastic & Reconstructive Surgeon 757-734-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery |
Enumeration Date | 2022-01-17 |
Last Update Date | 2022-05-04 |