| NPI | 1083688238 |
|---|---|
| Former Legal Business Name | SEBASTIEN DERMATOLOGY PC |
| Entity Type | Organization |
| Authorized Contact | THEODORE STEWART SEBASTIEN CEO President 703-709-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2010-10-07 |