CLARKSBURG DERMATOLOGY AND SKINCARE LLC

CLARKSBURG, MD
NPI1316439078
Entity TypeOrganization
Authorized ContactJOHANNA FANGMEYER
Owner
301-298-1818
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MD  R134352)
Enumeration Date2018-05-30
Last Update Date2018-07-12
Business Address
CLARKSBURG DERMATOLOGY AND SKINCARE LLC
23202 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Phone number: 301-298-1818
Mailing Address
CLARKSBURG DERMATOLOGY AND SKINCARE LLC
1136 OPAL CT
HAGERSTOWN, MD 21740-5940
Phone number: 800-430-6311