Organization
DERMATOLOGY ASSOCIATES OF NORTHERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA JUNE NEELY (ADMINISTRATOR)
(703) 222-2773
Entity
Organization
Contact information
Practice address
25055 RIDING PLZ, SUITE 230, CHANTILLY, VA 20152-5917
(703) 222-2773
(703) 222-6093
Mailing address
13880 BRADDOCK RD STE 301, CENTREVILLE, VA 20121-2462
(703) 222-2773
(703) 222-6093
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0101047432
VA
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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