Clarksburg Dermatology and Skincare LLC
NPI #1316439078 in Clarksburg, Maryland
Provider Information
- NPI Number
- 1316439078
- Entity Type
- Organization
- Organization Name
- Clarksburg Dermatology and Skincare LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 30, 2018
- Last Updated
- Jul 12, 2018
Practice Location
- Address
- 23202 BREWERS TAVERN WAY
- City
- Clarksburg
- State
- Maryland
- ZIP Code
- 20871
- Phone
- (301) 298-1818
Authorized Official
- Name
- JOHANNA FANGMEYER, CRNP
- Title
- OWNER
- Phone
- (301) 298-1818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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