Organization
CENTER FOR SKIN SURGERY PLLC
Active
Parent organization
CENTER FOR SKIN SURGERY PLLC
Other names
Skin Cancer Outpatient Surgical Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR SKIN SURGERY PLLC
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
(203) 442-0300
(703) 442-0302
Mailing address
8301 OLD COURT HOUSE RD, VIENNA, VA 22182
(703) 442-0300
(703) 442-0332
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00265368
RAILROAD MEDICARE
VA
Enumeration date
06/09/2006
Last updated
03/05/2008
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