Derm Consults Online PC

NPI #1649510298 in Mclean, Virginia

Provider Information

NPI Number: 1649510298
Entity Type: Organization
Organization Name: Derm Consults Online PC
Primary Specialty: Dermatology
Enumeration Date: Feb 19, 2013
Last Updated: Feb 19, 2013

Practice Location

Address: 1350 BEVERLY RD SUITE 115-209
City: Mclean
State: Virginia
ZIP Code: 22101
Phone: (703) 606-0682

Authorized Official

Name: MICHELLE RIVERA, MD
Title: PRESIDENT
Phone: (703) 606-0682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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