Organization · Type 2 NPI
Vienna Dermatology, LLC
Clinic/Center · Vienna, VA
NPI number
1689076747
Active
Practice location
410 Maple Ave W Ste 3
Vienna, VA 22180-4224
Fax (703) 281-3615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 0101244058 (VA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
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About NPI 1689076747
Vienna Dermatology, LLC's National Provider Identifier is 1689076747, issued on Sep 20, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Vienna, VA. The record was last updated on Sep 20, 2014.