| NPI | 1043099658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH KUMAR MENON Physician Partner 301-693-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207ND0900X Dermatology Dermatopathology | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2024-03-06 |