INTEGRATED DERMATOLOGY OF FAIRFAX, LLC

FAIRFAX, VA
NPI1861890303
Entity TypeOrganization
Authorized ContactJEFFREY D. QUEEN
Authorized Official
561-314-2000
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2014-12-16
Last Update Date2024-02-21
Business Address
INTEGRATED DERMATOLOGY OF FAIRFAX, LLC
10680 MAIN ST STE 200
FAIRFAX, VA 22030-3810
Phone number: 703-352-2620
Mailing Address
INTEGRATED DERMATOLOGY OF FAIRFAX, LLC
4700 EXCHANGE CT STE 110
BOCA RATON, FL 33431-4450
Phone number: 561-314-2000
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