| NPI | 1003657198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE TCHANQUE-FOSSUO Dermatologist/Mohs Surgeon 240-367-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-07-25 |