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Organization

VIRGINIA DERMATOLOGY & SKIN SURGERY CENTER

Active
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Organization

VIRGINIA DERMATOLOGY & SKIN SURGERY CENTER

Active
Parent organization
VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
Other names
Virginia Dermatology & Skin Surgery Center Lab
Organization subpart
Yes

Provider details

NPI number
Legal business name
VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
Authorized official
MARK EID MD (OWNER)
(540) 373-6647
Entity
Organization

Contact information

Practice address
1985 JEFFERSON DAVIS HIGHWAY, FREDERICKSBURG, VA 22401
(540) 373-6647
(540) 479-1656
Mailing address
1985 JEFFERSON DAVIS HIGHWAY, FREDERICKSBURG, VA 22401
(540) 373-6647
(540) 479-1656

Taxonomy

Speciality
Code
Description
License number
State
207ZC0008X
Clinical Informatics (Pathology) Physician
Primary

Other

Enumeration date
06/25/2018
Last updated
06/25/2018
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