| NPI | 1144233289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J GREEN Physician 301-610-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MD D50346) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-12-30 |