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Organization

CENTER FOR SKIN SURGERY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN M ROTTER MD (OWNER)
(703) 442-0301
Entity
Organization

Contact information

Practice address
8301 OLD COURT HOUSE RD, VIENNA, VA 22182
(703) 442-0300
(703) 442-0302
Mailing address
8301 OLD COURT HOUSE RD, VIENNA, VA 22182
(703) 442-0300
(703) 442-0302

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207NS0135X
Procedural Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB9253
RAILROAD MEDICARE
VA
Enumeration date
06/13/2006
Last updated
03/05/2008
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