Weston, George W.

Weston, George W. is an individual health care provider with primary practice located at 1825 Samuel Morse Dr , Reston VA 20190-5317. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Weston, George W. can be contacted via phone (703) 893-6168.

Contact Information

Primary practice address
1825 Samuel Morse Dr Reston VA 20190-5317
Phone: (703) 893-6168
Fax: (703) 790-3444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101039622 Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 101039622 Virginia

Profile Details

NPI number 1003925991
LBN Legal business name Weston, George W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 13th, 2013 - about 12 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 1003925991 NPPES
Virginia Other 463704 ANTHEM NON-PAR PROVIDER #
Virginia Other 54-1828638 ANTHEM NON-PAR PROVIDER #

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