Center for Dermatology and Dermatologic Surgery Management, LLC

NPI #1508103011 in Annapolis, Maryland

Provider Information

NPI Number: 1508103011
Entity Type: Organization
Organization Name: Center for Dermatology and Dermatologic Surgery Management, LLC
Primary Specialty: Dermatology - Procedural Dermatology
Enumeration Date: Jan 4, 2013
Last Updated: Jan 4, 2013

Practice Location

Address: 167 JENNIFER RD STE W
City: Annapolis
State: Maryland
ZIP Code: 21401-7910
Phone: (410) 224-1195

Authorized Official

Name: DR. CHERYL M BURGESS, M.D.
Title: MEDICAL DIRECTOR
Phone: (202) 955-5757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X	Primary

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