| NPI | 1508103011 |
|---|---|
| Former Legal Business Name | CENTER FOR DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHERYL M BURGESS Medical Director 202-955-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |