Dermatology Consultants of Gloucester P L L C

NPI #1568674133 in Gloucester, Virginia

Provider Information

NPI Number: 1568674133
Entity Type: Organization
Organization Name: Dermatology Consultants of Gloucester P L L C
Primary Specialty: Specialist
Enumeration Date: May 4, 2007
Last Updated: Jun 7, 2011

Practice Location

Address: 6790 WOOD RIDGE DRIVE
City: Gloucester
State: Virginia
ZIP Code: 23061
Phone: (804) 693-6527

Authorized Official

Name: DR. DAVID W. MUFFELMAN, M.D.
Title: PRESIDENT
Phone: (804) 693-6527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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