NPI 1477337640

Aesthetic Dermatology and Mohs Surgery, LLC

Organisation Dermatology Physician Fairfax, VA

Practice location

Address: 2826 Old Lee Hwy STE 150, Fairfax, VA 22031-4323
Phone: (571) 529-5600
Fax: (571) 529-5656

Authorised official

Name: Adam Jon Tinklepaugh
Title: Dermatologist/Owner
Phone: (571) 529-5600

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Virginia →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1477337640
Entity type: Organization
NPI issued: 21 Aug 2023
Record last updated: 31 Oct 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.