| NPI | 1528014842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A EDWARDS Sr, VP 410-659-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-05-12 |