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1649951781
INTEGRATED DERMATOLOGY OF SHADY GROVE LLC
ROCKVILLE, MD
NPI
1649951781
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Entity Type
Organization
Authorized Contact
JEFFREY S FROMOWITZ
Authorized Official
561-314-2000
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
INTEGRATED DERMATOLOGY OF SHADY GROVE LLC
15245 SHADY GROVE RD 370
ROCKVILLE, MD 20850
Phone number: 240-246-7417
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Mailing Address
INTEGRATED DERMATOLOGY OF SHADY GROVE LLC
4700 EXCHANGE CT SUITE 110
BOCA RATON, FL 33431-4450
Phone number: 561-314-2000
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