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Dermatology & Advanced Skin Care
Specialist in Ellicott City, Maryland
NPI 1992738124

Dermatology & Advanced Skin Care is a Specialist based in Ellicott City, MD. Dermatology & Advanced Skin Care practices in Ellicott City, MD. The NPI Number for Dermatology & Advanced Skin Care is 1992738124 and holds a License No. D0030058 (Maryland).

The current practice location address for Dermatology & Advanced Skin Care is 6021 University Blvd, Ellicott City, MD and can be reached out via phone at 410-203-0607 and via fax at 410-203-0677.

Location: 6021 University Blvd, Ellicott City, MD, 21043-6077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992738124
Provider Name
Dermatology & Advanced Skin Care
Credential
Provider Entity Type
Organization
Address
6021 University Blvd, Ellicott City, MD, 21043-6077
Phone Number
410-203-0607
Fax Number
410-203-0677
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
553M860F 01 MD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
6021 University Blvd
City
Ellicott City
State
Maryland
Zip
21043-6077
Phone Number
410-203-0607
Fax Number
410-203-0677
person
Provider Business Mailing Address Details
Address
6021 University Blvd
City
Ellicott City
State
Maryland
Zip
21043-6077
Phone Number
410-203-0607
Fax Number
410-203-0677
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D0030058 (Maryland)
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.
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