Organization
ETERNAL DERMATOLOGY AND AESTHETIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFE RODNEY MD (MEDICAL DIRECTOR/FOUNDER)
(301) 479-6544
Entity
Organization
Contact information
Practice address
11711 E MARKET PL STE 100, FULTON, MD 20759-2595
(301) 479-6544
(240) 654-0408
Mailing address
11711 E MARKET PL STE 100, FULTON, MD 20759-2710
(301) 479-6544
(301) 622-3377
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0071033
MD
Other
Enumeration date
03/08/2017
Last updated
09/28/2024
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