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1386810299
DERMATOLOGY & DERMATOLOGIC SURGERY GROUP OF NORTHERN VIRGINIA PLLC
VIENNA, VA
NPI
1386810299
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Entity Type
Organization
Authorized Contact
LINDA P NIMS
Sole Member
703-969-9944
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2008-05-01
Last Update Date
2008-09-12
Business Address
DERMATOLOGY & DERMATOLOGIC SURGERY GROUP OF NORTHERN VIRGINIA PLLC
243 CHURCH ST NW
VIENNA, VA 22180-4434
Phone number: 703-969-9944
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Mailing Address
DERMATOLOGY & DERMATOLOGIC SURGERY GROUP OF NORTHERN VIRGINIA PLLC
243 CHURCH ST NW
VIENNA, VA 22180-4434
Phone number: 703-969-9944
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