# PETERSBURG DERMATOLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740435650
- **Authorized official:** DR. ERICK JEAN FREIHOFER MD (PRESIDENT)
- **Authorized official phone:** (804) 861-5555

## Contact information

- **Practice address:** 3277 S CRATER RD, PETERSBURG, VA 23805-9285
- **Practice address phone:** (804) 861-5555
- **Practice address fax:** (804) 861-5500
- **Mailing address:** 3277 S CRATER RD, PETERSBURG, VA 23805-9285
- **Mailing address phone:** (804) 861-5555
- **Mailing address fax:** (804) 861-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0101052210 | VA | Yes |

## Other

- **Enumeration date:** 11/19/2008
- **Last updated:** 11/19/2008