| NPI | 1821582917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BRADIE TONER President 240-515-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MD D0067264) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |