Calvert Dermatology, Llc

LBN: Calvert Dermatology, Llc
Calvert Dermatology, Llc is an health care organization with primary practice located at 130 Hospital Rd Ste. 200, Prince Frederick MD 20678-4015. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Calvert Dermatology, Llc can be contacted via phone (410) 535-4561, or through Hawit, Faris via phone (202) 253-4401.

Contact Information

Primary practice address
130 Hospital Rd Ste. 200 Prince Frederick MD 20678-4015
Phone: (410) 535-4561
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hawit, Faris
Phone: (202) 253-4401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D61859 Maryland

Profile Details

NPI number 1295875763
LBN Legal business name Calvert Dermatology, Llc
DBA Doing business as
Authorized official Hawit, Faris
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 18th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295875763 NPPES
Maryland MEDICAID 412713700

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