Renascance Dermatology Pc

LBN: Renascance Dermatology Pc
Renascance Dermatology Pc is an health care organization with primary practice located at 3620 Joseph Siewick Dr Suite 303, Fairfax VA 22033-1756. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Renascance Dermatology Pc can be contacted via phone (703) 865-6783, or through Shabazz, Dwana Rashad via phone (703) 865-6783.

Contact Information

Primary practice address
3620 Joseph Siewick Dr Suite 303 Fairfax VA 22033-1756
Phone: (703) 865-6783
Fax: (703) 865-6784
Website:
Map and Directions
Authorized official contact:
Name: Shabazz, Dwana Rashad Doctor of Medicine (MD)
Phone: (703) 865-6783

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101240235 Virginia

Profile Details

NPI number 1457796641
LBN Legal business name Renascance Dermatology Pc
DBA Doing business as
Authorized official Shabazz, Dwana Rashad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2013
Last updated May 1st, 2013 - about 13 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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