Provider Demographics
NPI:1902104094
Name:ALOUF AESTHETICS
Entity Type:Organization
Organization Name:ALOUF AESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ALOUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-375-9070
Mailing Address - Street 1:1602 APPERSON DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-7217
Mailing Address - Country:US
Mailing Address - Phone:540-375-9070
Mailing Address - Fax:540-375-9076
Practice Address - Street 1:1602 APPERSON DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7217
Practice Address - Country:US
Practice Address - Phone:540-375-9070
Practice Address - Fax:540-375-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-230-957261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty