Organization
CHARTER DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH KUMAR MENON M.D. (PHYSICIAN PARTNER)
(301) 693-3336
Entity
Organization
Contact information
Practice address
1008 TAVERN RD STE 201, MARTINSBURG, WV 25401-2859
(301) 693-3336
Mailing address
1800 LATIGO CT, FREDERICK, MD 21702-5507
(301) 693-3336
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
09/22/2023
Last updated
03/06/2024
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