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Contact Information

METRO MOHS SURGERY CENTER, LLC
5501 BACKLICK RD STE 120
SPRINGFIELD, VA22151-3940
 Phone: 301-966-7744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for METRO MOHS SURGERY CENTER LLC · (Female)

NPI # 1578129599
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2019
Last updated 10/27/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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