Integrated Dermatology Of Fairfax, Llc

LBN: Integrated Dermatology Of Fairfax, Llc
Integrated Dermatology Of Fairfax, Llc is an health care organization with primary practice located at 10680 Main St Ste 200 , Fairfax VA 22030-3810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Integrated Dermatology Of Fairfax, Llc can be contacted via phone (703) 352-2620, or through Queen, Jeffrey D. via phone (561) 314-2000.

Contact Information

Primary practice address
10680 Main St Ste 200 Fairfax VA 22030-3810
Phone: (703) 352-2620
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Queen, Jeffrey D.
Phone: (561) 314-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1861890303
LBN Legal business name Integrated Dermatology Of Fairfax, Llc
DBA Doing business as
Authorized official Queen, Jeffrey D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2014
Last updated Feb 21st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers