| NPI | 1386904266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LOUIS DELLATORRE Director/Physician 301-652-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D23131) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |