Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Dermatology of Fairfax, LLC

Organization Dermatology Physician · NPI 1861890303

Integrated Dermatology of Fairfax, LLC is a Dermatology Physician in Fairfax, Virginia. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10680 Main St Ste 200
Fairfax, VA 22030-3810
Phone: (703) 352-2620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1861890303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Authorized Official · (561) 314-2000
NPI enumeratedDecember 16, 2014
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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