| 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 |