Organization
BARCROFT DERMATOLOGY, LLC
Active
Other names
Mai H. Nguyen, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAI HOANG NGUYEN MD (OWNER)
(703) 892-3636
Entity
Organization
Contact information
Practice address
939 S WAKEFIELD ST, ARLINGTON, VA 22204-3084
(703) 892-3636
(703) 892-3626
Mailing address
727 MCKINLEY ST NE, VIENNA, VA 22180-3405
(703) 281-3626
(703) 281-3615
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101244058
VA
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A948510
MEDICAID
CA
05
—
00A948510
—
CA
01
—
0101244058
VA LICENSE
VA
01
—
A94851
CA LICENSE
CA
Enumeration date
01/10/2018
Last updated
12/04/2018
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