OrganizationActive
Advanced Brain Centers of Va
NPI 1659067122 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Reston, VA
Provider details
- NPI number
- 1659067122
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Phillip Defina, Owner
Practice location
1860 Town Center Drive
Suite G220
Reston, VA 20190
Phone: (571) 201-8238
Fax: (703) 709-1119
Mailing address
1860 Town Center Drive
Reston, VA 20190
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.