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Contact Information

DERMATOLOGY SPECIALISTS OF VIRGINIA PC
1800 TOWN CENTER DR
STE 415
RESTON, VA20190
 Phone: 703-709-1492
 Fax: 703-709-5111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY SPECIALISTS OF VIRGINIA PC

NPI Number 1083688238
LBN Legal business name DERMATOLOGY SPECIALISTS OF VIRGINIA PC
Authorized official THEODORE SEBASTIEN - (CEO PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2006
Last updated 10/07/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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