Dermatology Associates of Northern Virginia
Dermatology Associates of Northern Virginia is a Preferred Provider Organization in Chantilly, Virginia. Licensed in Virginia. Registered with an NPI since 2016.
- Licensed in
- VA
- In the registry since
- 2016
Practice location Address checks out
25055 Riding Plz Ste 230Chantilly, VA 20152-5917
Phone: (703) 222-2773
Fax: (703) 222-6093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 0101047432 (VA) |
|---|
Record details
| NPI number | 1255791448 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anita Neely — Administrator · (703) 222-2773 |
| NPI enumerated | March 1, 2016 |
| Last updated in NPPES | March 1, 2016 |
| Mailing address | 13880 Braddock Rd Ste 301, Centreville, VA 20121-2462 |