Organization
DERMATOLOGY SPECIALISTS OF VIRGINIA PC
Active
Other names
Sebastien Dermatology PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE STEWART SEBASTIEN MD (CEO PRESIDENT)
(703) 709-1492
Entity
Organization
Contact information
Practice address
1800 TOWN CENTER DR, STE 415, RESTON, VA 20190
(703) 709-1492
(703) 709-5111
Mailing address
1800 TOWN CENTER DR, STE 415, RESTON, VA 20190
(703) 709-1492
(703) 709-5111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/15/2006
Last updated
10/07/2010
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