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

Integrated Dermatology of Gloucester, LLC

Organization Dermatology Physician · NPI 1710479936

Integrated Dermatology of Gloucester, LLC is a Dermatology Physician in Gloucester, Virginia. Registered with an NPI since 2018.

In the registry since
2018
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

6790 Wood Ridge Dr
Gloucester, VA 23061-4377
Phone: (804) 693-6527
Fax: (804) 693-6615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1710479936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Manager · (561) 314-2000
NPI enumeratedJune 4, 2018
Last updated in NPPESJune 4, 2018
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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