Skin and Laser Surgery Center
Skin and Laser Surgery Center is an MOHS-Micrographic Surgery Physician in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
Practice location Address checks out
8130 Boone Blvd Ste 340Vienna, VA 22182-2666
Phone: (703) 492-4140
Fax: (703) 490-6443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 0101053252 (VA) |
|---|
Record details
| NPI number | 1720277932 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amir Bajoghli — President · (703) 492-4140 |
| NPI enumerated | October 24, 2007 |
| Last updated in NPPES | September 24, 2008 |
| Mailing address | Po Box 2010, Merrifield, VA 22116-2010 |