Dermatology & Advanced Skin Care
Dermatology & Advanced Skin Care is a Specialist in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
Practice location Address checks out
6021 University Blvd Ste 390Ellicott City, MD 21043-6077
Phone: (410) 203-0607
Fax: (410) 203-0677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence D0030058 (MD) |
|---|
Record details
| NPI number | 1992738124 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elisa Rusonis — Administrator · (410) 203-0607 |
| NPI enumerated | July 9, 2006 |
| Last updated in NPPES | July 1, 2010 |
| Mailing address | 6021 University Blvd, Suite 390, Ellicott City, MD 21043-6077 |
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