# HAGERSTOWN DERM AND SKIN CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598199796
- **Authorized official:** JOHANNA FANGMEYER NP (OWNER)
- **Authorized official phone:** (240) 469-4835

## Contact information

- **Practice address:** 1136 OPAL CT, HAGERSTOWN, MD 21740-5940
- **Practice address phone:** (240) 469-4835
- **Practice address fax:** (240) 469-4836
- **Mailing address:** 13424 PENNSYLVANIA AVE, SUITE 101, HAGERSTOWN, MD 21742-2658
- **Mailing address phone:** (301) 370-6688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R134352 | MD | Yes |

## Other

- **Enumeration date:** 08/25/2013
- **Last updated:** 07/21/2022