Capital Dermatology Ltd

NPI #1295822419 in Alexandria, Virginia

Provider Information

NPI Number: 1295822419
Entity Type: Organization
Organization Name: Capital Dermatology Ltd
Primary Specialty: Dermatology
Enumeration Date: Oct 9, 2006
Last Updated: Apr 1, 2011

Practice Location

Address: 4660 KENMORE AVE STE 500
City: Alexandria
State: Virginia
ZIP Code: 22304-1300
Phone: (703) 370-0073

Authorized Official

Name: BRUCE DAVID GLASSMAN, M.D.
Title: PRESIDENT
Phone: (703) 370-0073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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