Individual
JUAN-CARLOS CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 BLACKWELL PARK LN, SUITE 302, WARRENTON, VA 20186-2685
(540) 341-1900
(540) 341-0940
Mailing address
28 BLACKWELL PARK LN, SUITE 302, WARRENTON, VA 20186-2685
(540) 341-1900
(540) 341-0940
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101242722
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101242722
MEDICAL LIC #
VA
05
—
1801068937
—
VA
Enumeration date
03/28/2008
Last updated
09/15/2010
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