Organization
DERM CONSULTS ONLINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RIVERA MD (PRESIDENT)
(703) 606-0682
Entity
Organization
Contact information
Practice address
1350 BEVERLY RD SUITE 115-209, MCLEAN, VA 22101
(703) 606-0682
(703) 524-7245
Mailing address
1350 BEVERLY RD SUITE 115-209, MCLEAN, VA 22101
(703) 606-0682
(703) 524-7245
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101039759
VA
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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