National Provider Identifier Database

VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
MOHS-Micrographic Surgery

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.


Contact Information

VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
1985 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA22401-5298
Phone: 540-373-6647
Fax: 540-479-1656
Website:
Specialty Taxonomy Code
* MOHS-Micrographic Surgery 207ND0101X
Dermatopathology 207ND0900X

* Indicates primary specialty

NPI Profile & details for VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER

NPI Number 1598056582
Legal business name
LBN
VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
Authorized official MARK EID - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/25/2011
Last updated 08/25/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0101249163

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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