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1073605333
MID ATLANTIC DERMATOLOGY
CHESAPEAKE, VA
NPI
1073605333
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Entity Type
Organization
Authorized Contact
ROSE ANN WALLER
Billing Manager
757-547-9830
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-09-28
Last Update Date
2008-07-09
Business Address
MID ATLANTIC DERMATOLOGY
109 WIMBLEDON SQ SUITE E
CHESAPEAKE, VA 23320-4945
Phone number: 757-547-9830
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Mailing Address
MID ATLANTIC DERMATOLOGY
109 WIMBLEDON SQ SUITE E
CHESAPEAKE, VA 23320-4945
Phone number: 757-547-9830
Copy
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