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Individual

DR. GLENN H FUCHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6565 ARLINGTON BLVD STE 102, FALLS CHURCH, VA 22042-3000
(703) 578-1770
(703) 820-7088
Mailing address
6565 ARLINGTON BLVD STE 102, FALLS CHURCH, VA 22042-3000
(703) 578-1770
(703) 820-7088

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101033724
VA
207N00000X
Dermatology Physician
MD12067
DC
207NS0135X
Procedural Dermatology Physician
Primary
0101033724
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060386
ANTHEM BLUESHIELD OF VA
VA
01
133076
MEDICARE PTAN
VA
01
15460001
CAREFIRST BLUECROSS BLUESHIELD
DC
01
814870
AETNA
01
DN8752
RR MEDICARE PTAN
VA
Enumeration date
05/12/2006
Last updated
02/08/2022
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