Provider Demographics
NPI:1659730356
Name:BREAST AND BODY SOLUTIONS LLC
Entity Type:Organization
Organization Name:BREAST AND BODY SOLUTIONS LLC
Other - Org Name:DC COSMETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALIFEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-244-0148
Mailing Address - Street 1:8180 GREENSBORO DR
Mailing Address - Street 2:SUITE 1015
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3888
Mailing Address - Country:US
Mailing Address - Phone:703-543-9252
Mailing Address - Fax:
Practice Address - Street 1:8180 GREENSBORO DR
Practice Address - Street 2:SUITE 1015
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3888
Practice Address - Country:US
Practice Address - Phone:703-543-9252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058647261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty