Organization · Type 2 NPI

Tidewater Skin Care and Pathology PC

Dermatology Physician · Virginia Beach, VA

NPI number 1215269097 Active

Practice location

1157 First Colonial Rd, Suite 300
Virginia Beach, VA 23454-2432

Fax (757) 333-8002

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X0101022994 (VA)
Dermatology Physician 207N00000X200301017 (NC)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1215269097

Tidewater Skin Care and Pathology PC's National Provider Identifier is 1215269097, issued on Feb 4, 2010. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Dec 20, 2010.