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WARRENTON DERMATOLOGY PC NPI 1396778205


NPI Information

NPI: 1396778205
Provider Name: WARRENTON DERMATOLOGY PC

Doing Business As: WARRENTON DERMATOLOGY & SKIN THERAPY CENTER

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 49D2284868

Address:
28 BLACKWELL PARK LN
SUITE 302
WARRENTON, VA
ZIP 20186
Phone: (540) 341-1900
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WARRENTON DERMATOLOGY PC is a dermatology in Warrenton, VA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. WARRENTON DERMATOLOGY PC NPI is 1396778205. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Warrenton Dermatology & Skin Therapy Center.

The provider's business location address is:

28 BLACKWELL PARK LN
SUITE 302
WARRENTON, VA
ZIP 20186-685
Phone: (540) 341-1900
Fax: (540) 341-0940

The provider's authorized official is Juan-carlos Caballero .
The authorized official title is Owner/authorized Official and has the following contact phone number (540) 341-1900.

The CLIA number assigned to this NPI record is 49D2284868 - other - preg help med ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/15/2010.


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
1174400000XSpecialist0101051160VIRGINIANo
2207N00000XDermatologyYes

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
1C06415MEDICARE PINVIRGINIA

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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