NPI 1598776817

Professional Dermatology Care, PC

Organisation Specialist Reston, VA

Practice location

Address: 1801 Robert Fulton Dr Suite 520, Reston, VA 20191-5461
Phone: (703) 860-1818
Fax: (703) 860-5303

Authorised official

Name: Maithily Nandedkar
Title: Owner
Phone: (703) 860-1818

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0101232644 (VA)

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Registry record

NPI: 1598776817
Entity type: Organization
NPI issued: 11 Aug 2006
Record last updated: 3 Jan 2012

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.