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 |