Capital Dermatology Ltd

LBN: Capital Dermatology Ltd
Capital Dermatology Ltd is an health care organization with primary practice located at 4660 Kenmore Ave Ste 500 , Alexandria VA 22304-1300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Capital Dermatology Ltd can be contacted via phone (703) 370-0073, or through Glassman, Bruce David via phone (703) 370-0073.

Contact Information

Primary practice address
4660 Kenmore Ave Ste 500 Alexandria VA 22304-1300
Phone: (703) 370-0073
Fax: (703) 370-2002
Website:
Map and Directions
Authorized official contact:
Name: Glassman, Bruce David Doctor of Medicine (MD)
Phone: (703) 370-0073

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1295822419
LBN Legal business name Capital Dermatology Ltd
DBA Doing business as
Authorized official Glassman, Bruce David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Apr 1st, 2011 - about 14 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 1295822419 NPPES
Other 5629309 AETNA PPO GROUP
Other 111874 AETNA PPO GROUP
Other 0483568 AETNA PPO GROUP

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