NPI 1205212933

Dermatology of Virginia

Organisation Dermatology Physician Fairfax, VA

Practice location

Address: 3930 Pender Dr Suite 210, Fairfax, VA 22030-0985
Phone: (703) 828-7128
Mailing address: 3930 Pender Dr STE 210, Fairfax, VA 22030-0992

Authorised official

Name: Liana I Abramova
Title: Ceo
Phone: (314) 239-1872

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0101245322 (VA)

Other Dermatology providers in Virginia →

Registry record

NPI: 1205212933
Entity type: Organization
NPI issued: 4 Aug 2015
Record last updated: 24 Jan 2024

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.