Organization
FAMILY DERMATOLOGY OF ALBEMARLE PLC
Active
Organization
FAMILY DERMATOLOGY OF ALBEMARLE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT DOUGLAS KRASNER M.D. (OWNER)
(434) 964-9500
Entity
Organization
Contact information
Practice address
215 WAYLES LN, SUITE 150, CHARLOTTESVILLE, VA 22911-4631
(434) 964-9500
(434) 964-9501
Mailing address
215 WAYLES LN, SUITE 150, CHARLOTTESVILLE, VA 22911-4631
(434) 964-9500
(434) 964-9501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101237413
VA
207ND0900X
Dermatopathology Physician
Primary
0101237413
VA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
0101237413
VA
207NS0135X
Procedural Dermatology Physician
0101237413
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178139
BLUE CROSS AND BLUE SHIEL
—
Enumeration date
02/06/2007
Last updated
09/11/2025
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