Organization
FDL DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY REGAN HERBERT MD (PHYSICIAN)
(703) 310-7400
Entity
Organization
Contact information
Practice address
1715 N GEORGE MASON DR, SUITE 406, ARLINGTON, VA 22205-3609
(703) 310-7400
(703) 574-3184
Mailing address
1715 N GEORGE MASON DR, SUITE 406, ARLINGTON, VA 22205-3609
(703) 310-7400
(703) 574-3184
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101241553
VA
Other
Enumeration date
08/14/2007
Last updated
07/15/2008
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