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Vienna Dermatology, Llc
Clinic/Center in Vienna, Virginia
NPI 1689076747

Vienna Dermatology, Llc is a Clinic/Center based in Vienna, VA. Vienna Dermatology, Llc practices in Vienna, VA. The NPI Number for Vienna Dermatology, Llc is 1689076747 and holds a License No. 0101244058 (Virginia).

The current practice location address for Vienna Dermatology, Llc is 410 Maple Ave W Ste 3, Vienna, VA and can be reached out via phone at 703-281-3626 and via fax at 703-281-3615.

Location: 410 Maple Ave W Ste 3, Vienna, VA, 22180-4224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689076747
Provider Name
Vienna Dermatology, Llc
Credential
Provider Entity Type
Organization
Address
410 Maple Ave W Ste 3, Vienna, VA, 22180-4224
Phone Number
703-281-3626
Fax Number
703-281-3615
Provider Enumeration Date
09/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A948510 05 CA
institution
Provider Business Practice Location Address Details
Address
410 Maple Ave W Ste 3
City
Vienna
State
Virginia
Zip
22180-4224
Phone Number
703-281-3626
Fax Number
703-281-3615
person
Provider Business Mailing Address Details
Address
410 Maple Ave W Ste 3
City
Vienna
State
Virginia
Zip
22180-4224
Phone Number
703-281-3626
Fax Number
703-281-3615
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
0101244058 (Virginia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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