MEDICARE: DERMATOLOGY ASSOCIATES OF MCLEAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1386826055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERMATOLOGY ASSOCIATES OF MCLEAN

Provider Business Mailing Address
First Line	:	1365 BEVERLY RD
Second Line	:	SECOND FLOOR
City	:	MCLEAN
State	:	VA
Zip	:	22101-3603
Country	:	US
Telephone Number	:	703-790-5850
Fax Number	:	703-790-1028

Provider Business Practice Location Address
First Line	:	1365 BEVERLY RD
Second Line	:	SECOND FLOOR
City	:	MCLEAN
State	:	VA
Zip	:	22101-3603
Country	:	US
Telephone Number	:	703-790-5850
Fax Number	:	703-790-1028

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM J ALMS
Credential	:	MD
Telephone Number	:	703-790-5850

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	02/26/2016

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1365 BEVERLY ROAD , SECOND FLOOR
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1295707560 — NINA M FISHER MD
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1992807424 — MS. JOAN A PICKETT MA, L.P.C., C.S.A.C.
Practice Location Address:

1485 CHAIN BRIDGE RD , SUITE 203
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Practice Location Address:

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