ADVANCED DERMATOLOGY OF CHARLOTTESVILLE NPI 1588791255

NPI Information

ADVANCED DERMATOLOGY OF CHARLOTTESVILLE is a specialist in Charlottesville, 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. ADVANCED DERMATOLOGY OF CHARLOTTESVILLE NPI is 1588791255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 PETER JEFFERSON PKWY
SUITE 350
CHARLOTTESVILLE, VA
ZIP 22911-835
Phone: (434) 977-0027
Fax: (434) 978-2040

The provider's authorized official is Vandana S Nanda .
The authorized official title is Owner and has the following contact phone number (434) 977-0027.

The CLIA number assigned to this NPI record is 49D1048852 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 6/21/2018.

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:

Other Identifiers

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

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