| NPI | 1619232469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT L MAGGIO President 703-753-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2025-12-09 |