Provider Demographics
NPI:1851525919
Name:SAILON, ALEXANDER MARINO (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:MARINO
Last Name:SAILON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 SHORE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-1498
Mailing Address - Country:US
Mailing Address - Phone:757-734-1000
Mailing Address - Fax:757-734-1001
Practice Address - Street 1:2829 SHORE DR STE 200
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-1498
Practice Address - Country:US
Practice Address - Phone:757-734-1000
Practice Address - Fax:757-735-1001
Is Sole Proprietor?:No
Enumeration Date:2009-05-05
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD810812086S0122X
DCMD0439912086S0122X
VA01012581892086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery