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Shady Grove Dermatology
Medical Specialty Clinic/Center in Rockville, Maryland
NPI 1790177210

Shady Grove Dermatology is a Medical Specialty Clinic/Center based in Rockville, MD and is specialized in Medical Specialty. Shady Grove Dermatology practices in Rockville, MD. The NPI Number for Shady Grove Dermatology is 1790177210 and holds a License No. D0028453 (Maryland).

The current practice location address for Shady Grove Dermatology is 15245 Shady Grove Rd, Rockville, MD and can be reached out via phone at 240-246-7417. You can also correspond with Shady Grove Dermatology through the mailing address at 15245 SHADY GROVE RD, ROCKVILLE, MD - 20850-3222 (mailing address contact number: 240-246-7417).

Location: 15245 Shady Grove Rd, Rockville, MD, 20850-3222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790177210
Provider Name
Shady Grove Dermatology
Credential
Provider Entity Type
Organization
Address
15245 Shady Grove Rd, Rockville, MD, 20850-3222
Phone Number
240-246-7417
Fax Number
Provider Enumeration Date
02/20/2015
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
15245 Shady Grove Rd
City
Rockville
State
Maryland
Zip
20850-3222
Phone Number
240-246-7417
Fax Number
person
Provider Business Mailing Address Details
Address
15245 Shady Grove Rd
City
Rockville
State
Maryland
Zip
20850-3222
Phone Number
240-246-7417
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
D0028453 (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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