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

Integrated Dermatology of Gloucester, LLC

Organization Dermatology Physician · NPI 1710479936

Integrated Dermatology of Gloucester, LLC provides Dermatology Physician services in Gloucester, Virginia. Registered with an NPI since 2018.

In the registry since
2018
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

6790 Wood Ridge Dr
Gloucester, VA 23061-4377
Phone: (804) 693-6527
Fax: (804) 693-6615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1710479936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Manager · (561) 314-2000
NPI enumeratedJune 4, 2018
Last updated in NPPESJune 4, 2018
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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