Healthcare Provider Details

I. General information

NPI: 1336863844
Provider Name (Legal Business Name): AFFILIATES IN PLASTIC SURGERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15245 SHADY GROVE RD STE 155
ROCKVILLE MD
20850-6271
US

IV. Provider business mailing address

4660 KENMORE AVE STE 220
ALEXANDRIA VA
22304-1306
US

V. Phone/Fax

Practice location:
  • Phone: 301-232-3000
  • Fax: 301-232-3333
Mailing address:
  • Phone: 703-832-4000
  • Fax: 703-832-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ALI AL-ATTAR
Title or Position: MANAGING DIRECTOR
Credential: MD
Phone: 703-888-2034