| NPI | 1669716395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLEEN ST. SURIN-LORD Medical Director 240-223-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0065513) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-12-20 |