| NPI | 1558551762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J BERBERIAN CEO 301-656-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0029682) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: MD D0029682) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |