Dr. Theodore Stewart Sebastien, MD
Dermatology, MOHS-Micrographic Surgery in Reston, VA. Individual provider (NPI-1).
NPI number1568433860
StatusActive
Last updated in NPPESMar 28, 2018
Details
- NPI
- 1568433860
- Entity type
- Individual (NPI-1)
- Name
- Dr. Theodore Stewart Sebastien
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Last updated
- Mar 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 0101057014 | VA | Yes |
| 207N00000X | Dermatology | 0101057014 | VA |
Practice location
1800 Town Center DriveSte 415
Reston, VA 20190
Phone 703-709-1492 · Fax 703-709-5111
Mailing address
1800 Town Center DriveSte 415
Reston, VA 20190
Phone 703-709-1492 · Fax 703-709-5111
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