IndividualActive
Theresa Conologue, DO
NPI 1053407452 · Procedural Dermatology Physician · Fredericksburg, VA
Provider details
- NPI number
- 1053407452
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0102201892 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1101 Sam Perry Blvd Ste 121
Fredericksburg, VA 22401-4465
Phone: (540) 899-1600
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Sam Perry Blvd Ste 121
Fredericksburg, VA 22401-4465
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2013-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.