Dulles Dermatology Associates, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DULLES DERMATOLOGY ASSOCIATES, PLLC

Practice address

24430 Stone Springs Blvd Ste 275
Dulles, VA 20166-2247

Phone

(703) 450-5959

Fax

(703) 450-4800

NPI assigned

Jul 26, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Magdalena Politano

Title

Office Manager

Phone

(844) 357-3376

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1477077071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD SUITE 275",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662462",
            "telephone_number": "844-357-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD STE 275",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662247",
            "telephone_number": "703-450-5959",
            "fax_number": "703-450-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULLES DERMATOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "POLITANO",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "844-357-3376"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dulles, VA
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.