DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THERESA CONOLOGUE, DO

Active Sole Proprietor

DR. THERESA CONOLOGUE, DO is a Procedural Dermatology healthcare provider located in FREDERICKSBURG, Virginia. NPI 1053407452 is currently active in the NPPES registry. Verify at CMS.

Procedural Dermatology · FREDERICKSBURG, VA

Registration Details

NPI Number
1053407452
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2006 (19.871823850136 yrs)
Last Updated
Apr 29, 2013
License
0102201892 (VA)
Sole Proprietor
Yes

Practice Information

Address
1101 SAM PERRY BLVD STE 121
FREDERICKSBURG, VA, 224014465
Browse VA providers · Browse ZIP 22401
Phone
5408991600
Primary Specialty
Procedural Dermatology
207NS0135X

Other Procedural Dermatology Providers in FREDERICKSBURG, VA

Name Credential NPI
PATRICIA P STEVENS MD 1609851609
CONNOR A PATTERSON M.D. 1548475189
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.