OrganizationActive
Prosperity PA, LLC
NPI 1164112207 · Plastic and Reconstructive Surgery Physician · Falls Church, VA
Provider details
- NPI number
- 1164112207
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Glynn, Counsel(703) 544-8971
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2755 Hartland Rd Ste 204
Falls Church, VA 22043-3544
Phone: (703) 544-8971
Approximate (ZIP-level) locationGet directions
Mailing address
2755 Hartland Rd Ste 204
Falls Church, VA 22043-3544
Registry dates
- Enumerated
- 2023-05-11
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.