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1245509439
GREATER WASHINGTON SKIN CENTER, LLC
COLLEGE PARK, MD
NPI
1245509439
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Entity Type
Organization
Authorized Contact
PAVAN KUMAR NOOTHETI
Owner
858-752-4459
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MD DO073150)
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
GREATER WASHINGTON SKIN CENTER, LLC
4700 BERWYN HOUSE RD SUITE 108
COLLEGE PARK, MD 20740-2474
Phone number: 858-752-4459
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Mailing Address
GREATER WASHINGTON SKIN CENTER, LLC
4700 BERWYN HOUSE RD SUITE 108
COLLEGE PARK, MD 20740-2474
Phone number: 858-752-4459
Copy
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PAVAN KUMAR NOOTHETI