Individual
DR. ALAN ELLIS ROLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8505 ARLINGTON BLVD STE 210, FAIRFAX, VA 22031-4630
(703) 846-0076
(703) 846-0025
Mailing address
4646 SUNSAIL CIR, DESTIN, FL 32541-4756
(757) 469-9714
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101040397
VA
207ND0900X
Dermatopathology Physician
0101040397
VA
207NP0225X
Pediatric Dermatology Physician
0101040397
VA
207NS0135X
Procedural Dermatology Physician
0101040397
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126246P05
MEDICARE PTAN
VA
05
—
1295899953
—
VA
Enumeration date
12/20/2006
Last updated
06/13/2024
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