NPI 1073605333

Mid Atlantic Dermatology

Organisation Dermatology Physician Chesapeake, VA

Practice location

Address: 109 Wimbledon Sq Suite E, Chesapeake, VA 23320-4945
Phone: (757) 547-9830
Fax: (757) 548-0721

Authorised official

Name: Rose Ann Waller
Title: Billing Manager
Phone: (757) 547-9830

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Virginia →

Registry record

NPI: 1073605333
Entity type: Organization
NPI issued: 28 Sep 2006
Record last updated: 9 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.