Dermatology & Advanced Skin Care in Ellicott City - Specialist

Dermatology & Advanced Skin Care - NPI 1992738124

Dermatology & Advanced Skin Care is a Specialist in Ellicott City, Maryland. Dermatology & Advanced Skin Care practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology & Advanced Skin Care is 1992738124. The last update date is 2010-07-01.

Dermatology & Advanced Skin Care's current location address is 6021 University Blvd, Ellicott City, Maryland. You can contact this provider via phone number 4102030607 and fax number 4102030677. The mailing address for Dermatology & Advanced Skin Care is 6021 University Blvd, Ellicott City, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dermatology & Advanced Skin Care
Address 6021 University Blvd, Ellicott City, Maryland
Phone Number 4102030607
Fax Number 4102030677
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Rusonis Elisa
Telephone Number 4102030607

NPI Number Detail

NPI Number 1992738124
Provider Enumeration Date 2006-07-09
Last Updated Date 2010-07-01

Provider Mailing Address Detail

Address 6021 University Blvd
City Ellicott City
State Maryland (MD)
Post Code 210436077
Phone Number 4102030607
Fax Number 4102030677

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No D0030058
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
553M860F MD MEDICARE PTAN

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FAQs about Dermatology & Advanced Skin Care

What is the unique identifier code issued to Dermatology & Advanced Skin Care by the Centers for Medicare & Medicaid Services?

The Dermatology & Advanced Skin Care has been assigned the NPI (National Provider Identifier) 1992738124. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Dermatology & Advanced Skin Care is located?

The Dermatology & Advanced Skin Care is situated at the following address: 6021 University Blvd, Ellicott City, MD, 210436077.

What is Dermatology & Advanced Skin Care's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dermatology & Advanced Skin Care is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date was the 1992738124 assigned to Dermatology & Advanced Skin Care?

The Dermatology & Advanced Skin Care was issued its 1992738124 on 2006-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Dermatology & Advanced Skin Care's information last updated?

The Dermatology & Advanced Skin Care's information was last updated on 2010-07-01.

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