Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrated Dermatology of Fairfax, LLC

Organization Dermatology Physician · NPI 1861890303

Integrated Dermatology of Fairfax, LLC provides Dermatology Physician services in Fairfax, Virginia. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10680 Main St Ste 200
Fairfax, VA 22030-3810
Phone: (703) 352-2620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1861890303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Authorized Official · (561) 314-2000
NPI enumeratedDecember 16, 2014
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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