Dermatology Specialists of Virginia PC

NPI #1083688238 in Reston, Virginia

Provider Information

NPI Number: 1083688238
Entity Type: Organization
Organization Name: Dermatology Specialists of Virginia PC
Primary Specialty: Dermatology
Enumeration Date: Feb 15, 2006
Last Updated: Oct 7, 2010

Practice Location

Address: 1800 TOWN CENTER DR
Address 2: STE 415
City: Reston
State: Virginia
ZIP Code: 20190
Phone: (703) 709-1492

Authorized Official

Name: DR. THEODORE STEWART SEBASTIEN, MD
Title: CEO PRESIDENT
Phone: (703) 709-1492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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