IndividualActive
Mark Domanski, M.D.
NPI 1992993885 · Plastic and Reconstructive Surgery Physician · Fairfax, VA
Provider details
- NPI number
- 1992993885
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101257764 (VA)
Practice location
8316 Arlington Blvd Ste 524
Fairfax, VA 22031-5216
Phone: (703) 596-1660
Fax: (703) 646-6979
Mailing address
8316 Arlington Blvd Ste 524
Fairfax, VA 22031-5216
Registry dates
- Enumerated
- 2007-10-04
- Last updated
- 2024-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.