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Organization

WASHINGTON DERMATOLOGY CONSULTANTS, PLC

Active
Other names
Washington Dermatology Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH W NEAL MD (DIRECTOR OF DERMATOLOGIC SURGERY)
(571) 431-6175
Entity
Organization

Contact information

Practice address
611 S CARLIN SPRINGS RD, SUITE 406, ARLINGTON, VA 22204-1064
(571) 431-6175
(571) 431-6179
Mailing address
611 S CARLIN SPRINGS RD, SUITE 406, ARLINGTON, VA 22204-1064
(571) 431-6175
(571) 431-6179

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101237321
VA
207ND0101X
MOHS-Micrographic Surgery Physician
0101237321
VA
207NS0135X
Procedural Dermatology Physician
0101237321
VA

Other

Enumeration date
12/28/2006
Last updated
01/13/2011
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