Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology of Maryland PC

Organization Dermatology Physician · NPI 1386479004

Advanced Dermatology of Maryland PC is a Dermatology Physician in Fort Washington, Maryland. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11701 Livingston Rd Ste 302
Fort Washington, MD 20744-5146
Phone: (301) 292-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1386479004
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvanced Dermatology of Maryland PC
Authorized official Matt Leavitt — Owner · (407) 875-2080
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751-7172

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