| NPI | 1306992961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN H FUCHS President 703-578-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101033724) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD12067) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-02-08 |