| NPI | 1952593832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY REGAN HERBERT Physician 703-310-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101241553) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-07-15 |