Skin PC
Dermatology in Reston, VA. Organization (NPI-2).
NPI number1821118613
StatusActive
Last updated in NPPESSep 24, 2023
Details
- NPI
- 1821118613
- Entity type
- Organization (NPI-2)
- Legal business name
- Skin PC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2007
- Certification date
- Oct 10, 2022
- Last updated
- Sep 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- Reston Dermatology Cosmetic Center (Doing Business As)
Practice location
1800 Town Center Dr Ste 212Reston, VA 20190-3238
Phone 703-766-2220 · Fax 571-323-1486
Mailing address
1800 Town Center Dr Ste 212Reston, VA 20190-3238
Phone 703-766-2220 · Fax 571-323-1486
Authorized official
Colleen Rock
Billing Credentialing
7037662220
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