NPI | 1104086289 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN CANNING Dermatologist 301-933-1547 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0046170) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2008-06-12 |