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

The Clinical Skin Center of Northern Virginia PLLC

Organization Specialist · NPI 1700887387

The Clinical Skin Center of Northern Virginia PLLC is a Specialist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3700 Joseph Siewick Dr Ste 404
Fairfax, VA 22033-1744
Phone: (703) 620-8900
Fax: (703) 620-2288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101049818 (VA)

Record details

NPI number1700887387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Stashower — Owner · (703) 620-8900
Other names Clinical Skin Center
NPI enumeratedAugust 9, 2005
Last updated in NPPESJanuary 14, 2011
Mailing address3700 Joseph Siewick Dr, Suite 404, Fairfax, VA 22033-1744

Other providers in Fairfax