Organization
THE CLINICAL SKIN CENTER OF NORTHERN VIRGINIA PLLC
Active
Other names
Clinical Skin Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL E. STASHOWER M.D. (OWNER)
(703) 620-8900
Entity
Organization
Contact information
Practice address
3700 JOSEPH SIEWICK DR, SUITE 404, FAIRFAX, VA 22033-1744
(703) 620-8900
(703) 620-2288
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 404, FAIRFAX, VA 22033-1744
(703) 620-8900
(703) 620-2288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101049818
VA
Other
Enumeration date
08/09/2005
Last updated
01/14/2011
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