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Organization

MARAGH DERMATOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHERRY LH MARAGH M.D. (MANAGING MEMBER)
(703) 858-0500
Entity
Organization

Contact information

Practice address
45155 RESEARCH PL, SUITE 140, ASHBURN, VA 20147-4191
(703) 858-0500
(703) 858-5155
Mailing address
45155 RESEARCH PL, SUITE 140, ASHBURN, VA 20147-4191
(703) 858-0500
(703) 858-5155

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101241757
VA
207N00000X
Dermatology Physician
D0066429
MD
207ND0101X
MOHS-Micrographic Surgery Physician
0101241757
VA
207ND0101X
MOHS-Micrographic Surgery Physician
D0066429
MD
207NS0135X
Procedural Dermatology Physician
0101241757
VA
207NS0135X
Procedural Dermatology Physician
D0066429
MD

Other

Enumeration date
09/28/2007
Last updated
04/06/2012
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