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

Integrated Dermatology of Shady Grove LLC

Organization Dermatology Physician · NPI 1649951781

Integrated Dermatology of Shady Grove LLC is a Dermatology Physician in Rockville, Maryland. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15245 Shady Grove Rd 370
Rockville, MD 20850
Phone: (240) 246-7417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1649951781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Fromowitz — Authorized Official · (561) 314-2000
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address4700 Exchange Ct, Suite 110, Boca Raton, FL 33431-4450

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