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Contact Information

DERMATOLOGY CONSULTANTS OF GLOUCESTER P L L C
6790 WOOD RIDGE DRIVE
GLOUCESTER COURTHOUSE, VA23061
 Phone: 804-693-6527
 Fax: 804-693-6615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DERMATOLOGY CONSULTANTS OF GLOUCESTER P L L C

NPI Number 1568674133
LBN Legal business name DERMATOLOGY CONSULTANTS OF GLOUCESTER P L L C
Authorized official DAVID MUFFELMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 06/07/2011 - About 15 years ago
Identifiers
VA License # 0101026776
VA Other 141598 ANTHEM BCBS GROUP NUMBER
VA Other CJ9476 RAILROAD MEDICARE
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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