Integrated Dermatology of Tidewater LLC
Integrated Dermatology of Tidewater LLC is a Dermatology Physician in Norfolk, Virginia. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
885 Kempsville Rd Ste 309Norfolk, VA 23502-3800
Phone: (757) 461-1033
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1801238472 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Queen — Owner · (514) 314-2000 |
| NPI enumerated | July 24, 2013 |
| Last updated in NPPES | January 29, 2019 |
| Mailing address | 4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450 |
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Dr. Bruce Evans Fuller, MD
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Brian Bradley Johnson, MD
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Dr. Brian L Johnson, MD
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David Pariser, MD
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