NPI 1801342639 · live from the CMS NPI Registry
Advanced Dermatology Of Virginia INC
Dermatology in Alexandria, VA. National Provider Identifier 1801342639, active.
NPI record
| NPI | 1801342639 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 4660 Kenmore Ave Ste 1100, Alexandria, VA 22304 |
| Practice phone | 703-370-0073 |
| Mailing address | 151 Southhall Ln, Suite 300, Maitland, FL 32751 |
| Enumerated | August 31, 2016 |
| Last updated | October 25, 2023 |
| Authorized official | Matt Leavitt, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.