Organization
DERMATOLOGY ASSOCIATES OF NORTHERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEERAJA CHARAGUNDLA MATTAY M.D. (DR/OWNER)
(703) 222-2773
Entity
Organization
Contact information
Practice address
13880 BRADDOCK RD, 301, CENTREVILLE, VA 20121-2459
(703) 222-2773
(703) 222-6093
Mailing address
13880 BRADDOCK RD, 301, CENTREVILLE, VA 20121-2459
(703) 222-2773
(703) 222-6093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101047432
VA
Other
Enumeration date
06/18/2006
Last updated
11/13/2007
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