Organization
UNIVERSITY OF MARYLAND DERMATOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONDA L WILLIAMS (CORPORATE DIRECTOR)
(667) 214-2507
Entity
Organization
Contact information
Practice address
419 W REDWOOD ST STE 160, BALTIMORE, MD 21201-1782
(410) 328-3167
Mailing address
PO BOX 64445, BALTIMORE, MD 21264-4445
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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