DR. BLAKE ZELICKSON, M.D., PH.D.

Dermatology

Active Individual
NPI: 1902292394

Practice Address

22365 BRODERICK DRIVE, SUITE 115
Sterling, VA 20166

Phone: (170) 399-6400

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 0101269123 (VA)

Frequently Asked Questions

NPI 1902292394 is the National Provider Identifier for DR. BLAKE ZELICKSON, M.D., PH.D., a Dermatology provider located in Sterling, VA. This NPI was enumerated on April 13, 2015.
DR. BLAKE ZELICKSON, M.D., PH.D. practices at 22365 BRODERICK DRIVE, SUITE 115, Sterling, VA 20166.

Quick Facts

NPI
1902292394
Type
Individual
Enumerated
Apr 13, 2015
Last Updated
Jan 5, 2026

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