Greater Washington Skin Center, LLC

NPI #1245509439 in College Park, Maryland

Provider Information

NPI Number: 1245509439
Entity Type: Organization
Organization Name: Greater Washington Skin Center, LLC
Primary Specialty: Dermatology
Enumeration Date: Dec 19, 2011
Last Updated: Dec 19, 2011

Practice Location

Address: 4700 BERWYN HOUSE RD
Address 2: SUITE 108
City: College Park
State: Maryland
ZIP Code: 20740-2474
Phone: (858) 752-4459

Authorized Official

Name: DR. PAVAN KUMAR NOOTHETI, MD
Title: OWNER
Phone: (858) 752-4459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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