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Professional Dermatology Care, Pc
Specialist in Reston, Virginia
NPI 1598776817

Professional Dermatology Care, Pc is a Specialist based in Reston, VA. Professional Dermatology Care, Pc practices in Reston, VA. The NPI Number for Professional Dermatology Care, Pc is 1598776817 and holds a License No. 0101232644 (Virginia).

The current practice location address for Professional Dermatology Care, Pc is 1801 Robert Fulton Dr, Reston, VA and can be reached out via phone at 703-860-1818 and via fax at 703-860-5303.

Location: 1801 Robert Fulton Dr, Reston, VA, 20191-5461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598776817
Provider Name
Professional Dermatology Care, Pc
Credential
Provider Entity Type
Organization
Address
1801 Robert Fulton Dr, Reston, VA, 20191-5461
Phone Number
703-860-1818
Fax Number
703-860-5303
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558319319 01 VA INDIVIDUAL NPI NUMBER FOR MAITHILY A. NANDEDKAR
institution
Provider Business Practice Location Address Details
Address
1801 Robert Fulton Dr
City
Reston
State
Virginia
Zip
20191-5461
Phone Number
703-860-1818
Fax Number
703-860-5303
person
Provider Business Mailing Address Details
Address
1801 Robert Fulton Dr
City
Reston
State
Virginia
Zip
20191-5461
Phone Number
703-860-1818
Fax Number
703-860-5303
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101232644 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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