Mid Atlantic Skin Surgery Institute

NPI #1043457468 in Waldorf, Maryland

Provider Information

NPI Number: 1043457468
Entity Type: Organization
Organization Name: Mid Atlantic Skin Surgery Institute
Primary Specialty: Dermatology
Enumeration Date: Jan 8, 2009
Last Updated: Mar 11, 2025

Practice Location

Address: 173 SAINT PATRICKS DR
Address 2: SUITE 201
City: Waldorf
State: Maryland
ZIP Code: 20603-5529
Phone: (301) 475-8091

Authorized Official

Name: DR. GEORGE KANNARKAT VERGHESE, MD
Title: MEDICAL DIRECTOR
Phone: (301) 396-3401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology	207N00000X	Primary

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