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DERMATOLOGY AND DERMATOLOGIC SURGERY INC. NPI 1154442051


NPI Information

NPI: 1154442051
Provider Name: DERMATOLOGY AND DERMATOLOGIC SURGERY, INC.

Doing Business As: THE CENTER FOR DERMATOLOGY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
8505 ARLINGTON BLVD
SUITE 210
FAIRFAX, VA
ZIP 22031
Phone: (703) 846-0076
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DERMATOLOGY AND DERMATOLOGIC SURGERY, INC. is a specialist in Fairfax, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGY AND DERMATOLOGIC SURGERY, INC. NPI is 1154442051. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Center For Dermatology.

The provider's business location address is:

8505 ARLINGTON BLVD
SUITE 210
FAIRFAX, VA
ZIP 22031-621
Phone: (703) 846-0076
Fax: (703) 846-0025

The provider's authorized official is Saundra L Seaman .
The authorized official title is Owner and has the following contact phone number (703) 846-0076.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 10/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistD0053142MARYLANDNo
2174400000XSpecialist0101230540VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1460876MEDICARE UPINVIRGINIA
29787637MEDICARE UPINVIRGINIA
3491142MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
4462795MEDICARE UPINVIRGINIA
5F1930001MEDICARE UPINVIRGINIA
65462690MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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