| NPI | 1962686204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN J MCKINLEY-GRANT President/Physician 301-941-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |