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

The Clinical Skin Center of Northern Virginia PLLC

Organization Specialist · NPI 1700887387

The Clinical Skin Center of Northern Virginia PLLC provides Specialist services in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3700 Joseph Siewick Dr Ste 404
Fairfax, VA 22033-1744 Not confirmed with CMS for 15 years — call before visiting
Phone: (703) 620-8900
Fax: (703) 620-2288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101049818 (VA)

Record details

NPI number1700887387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Stashower — Owner · (703) 620-8900
Other names Clinical Skin Center
NPI enumeratedAugust 9, 2005
Last updated in NPPESJanuary 14, 2011
Mailing address3700 Joseph Siewick Dr, Suite 404, Fairfax, VA 22033-1744

Other providers in Fairfax