MEDICARE: GEORGE JOHN BITAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	0101231655	VA

General Provider Information

NPI Number	:	1306976709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE JOHN BITAR MD

Provider Business Mailing Address
First Line	:	8650 SUDLEY RD
Second Line	:	STE. 203
City	:	MANASSAS
State	:	VA
Zip	:	20110-4419
Country	:	US
Telephone Number	:	703-257-6000
Fax Number	:	703-257-6007

Provider Business Practice Location Address
First Line	:	8650 SUDLEY RD
Second Line	:	STE. 203
City	:	MANASSAS
State	:	VA
Zip	:	20110-4419
Country	:	US
Telephone Number	:	703-257-6000
Fax Number	:	703-257-6007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

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