Organization
MID ATLANTIC SKIN SURGERY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KANNARKAT VERGHESE MD (MEDICAL DIRECTOR)
(301) 396-3401
Entity
Organization
Contact information
Practice address
173 SAINT PATRICKS DR, SUITE 201, WALDORF, MD 20603-5529
(301) 475-8091
(301) 472-6712
Mailing address
173 SAINT PATRICKS DR STE 201, WALDORF, MD 20603-5531
(301) 396-3401
(301) 396-3403
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
01/08/2009
Last updated
03/11/2025
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