Organization
BECKLEY DERMATOLOGY INC.
Active
Parent organization
BECKLEY DERMATOLOGY INC
Other names
Dermatology Associates & Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BECKLEY DERMATOLOGY INC
Authorized official
NELSON E. VELAZQUEZ DO (OWNER)
(304) 252-2673
Entity
Organization
Contact information
Practice address
1000 TAVERN RD STE 400, MARTINSBURG, WV 25401-2853
(304) 350-8733
(304) 350-8655
Mailing address
136 LINDEN DR STE 104, WINCHESTER, VA 22601-6900
(540) 678-3588
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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