Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1801894290
Practice Locations (1)
THE CLINICAL SKIN CENTER OF NORTHERN VIRGINIA PLLC
3700 JOSEPH SIEWICK DR, SUITE 404
FAIRFAX, VA 220331745
7036208900
Source: CMS National Downloadable File, September 2026.