Organization
MONTGOMERY DERMATOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER J GIBLIN M.D. (MEMBER / OWNER)
(301) 216-2983
Entity
Organization
Contact information
Practice address
15225 SHADY GROVE RD, STE. 303, ROCKVILLE, MD 20850-3254
(301) 216-2980
(301) 216-2982
Mailing address
15225 SHADY GROVE RD, STE. 303, ROCKVILLE, MD 20850-3254
(301) 216-2980
(301) 216-2982
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D0042867
MD
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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