Organization
VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
Active
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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