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FAMILY DERMATOLOGY OF ALBEMARLE PLC NPI 1215076112


NPI Information

NPI: 1215076112
Provider Name: FAMILY DERMATOLOGY OF ALBEMARLE PLC
Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

CLIA Number: 49D1043618

Address:
215 WAYLES LN
SUITE 150
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 964-9500
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FAMILY DERMATOLOGY OF ALBEMARLE PLC is a clinical and laboratory dermatological immunology dermatology in Charlottesville, VA. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. FAMILY DERMATOLOGY OF ALBEMARLE PLC NPI is 1215076112. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

215 WAYLES LN
SUITE 150
CHARLOTTESVILLE, VA
ZIP 22911-631
Phone: (434) 964-9500
Fax: (434) 964-9501

The provider's authorized official is Brett Douglas Krasner .
The authorized official title is Owner and has the following contact phone number (434) 964-9500.

The CLIA number assigned to this NPI record is 49D1043618 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.


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
1207NI0002XDermatologyClinical & Laboratory Dermatological Immunology0101237413VIRGINIAYes
2207NS0135XDermatologyProcedural Dermatology0101237413VIRGINIAX
3207ND0900XDermatologyDermatopathology0101237413VIRGINIAX
4207N00000XDermatology0101237413VIRGINIAX

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
1178139OTHERBLUE CROSS AND BLUE SHIEL

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: 4/28/2024

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