| NPI | 1760029904 |
|---|---|
| Doing Business As | STONE RIDGE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARY BETH TAMASY CEO 703-737-6010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2023-08-18 |