THE CLINICAL SKIN CENTER OF NORTHERN VIRGINIA PLLC is a specialist in Fairfax, VA. The provider is 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. THE CLINICAL SKIN CENTER OF NORTHERN VIRGINIA PLLC NPI is 1700887387. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clinical Skin Center.
The provider's business location address is:
3700 JOSEPH SIEWICK DR
SUITE 404
FAIRFAX, VA
ZIP 22033-744
Phone: (703) 620-8900
Fax: (703) 620-2288
The provider's authorized official is Mitchell E. Stashower .
The authorized official title is Owner and has the following contact phone number (703) 620-8900.
The CLIA number assigned to this NPI record is 49D1002070 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 8/9/2005 and was last updated on 1/14/2011.