| NPI | 1245496660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY A. SIBERT Practice Management Consultant 301-938-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: MD D0014282) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |