Gartside, Roberta Lee

Gartside, Roberta Lee is an sole proprietor health care provider with primary practice located at 1800 Town Center Dr Suite 412, Reston VA 20190-3215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Gartside, Roberta Lee can be contacted via phone (703) 742-8004.

Contact Information

Primary practice address
1800 Town Center Dr Suite 412 Reston VA 20190-3215
Phone: (703) 742-8004
Fax: (703) 742-3749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101042741 Virginia

Profile Details

NPI number 1508901844
LBN Legal business name Gartside, Roberta Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508901844 NPPES
Virginia MEDICAID 6941648

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