Healthcare Provider Details

I. General information

NPI: 1407975444
Provider Name (Legal Business Name): ZINSSER PLASTIC SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 MAPLE AVE SUITE 101B
RICHMOND VA
23226-2553
US

IV. Provider business mailing address

1501 MAPLE AVE SUITE 101B
RICHMOND VA
23226-2553
US

V. Phone/Fax

Practice location:
  • Phone: 804-474-9805
  • Fax: 804-474-9810
Mailing address:
  • Phone: 804-474-9805
  • Fax: 804-474-9810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROBIN T ZINSSER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 804-364-8640