Individual
DR. AMANDA DERWAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10680 MAIN ST STE 200, FAIRFAX, VA 22030-3810
(703) 352-2620
(703) 352-2620
Mailing address
10680 MAIN ST STE 200, FAIRFAX, VA 22030-3810
(703) 352-2620
(703) 352-2594
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101280445
VA
207N00000X
Dermatology Physician
27508
NE
Other
Enumeration date
02/27/2012
Last updated
05/08/2024
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