Organization
VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK P. EID MD (MEDICAL DIRECTOR)
(540) 373-6647
Entity
Organization
Contact information
Practice address
1985 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22401-5298
(540) 373-6647
(540) 479-1656
Mailing address
1985 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22401-6233
(540) 373-6647
(540) 479-1656
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101249163
VA
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
04/25/2011
Last updated
08/25/2021
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