Organization
MARYLAND SKIN CANCER SPECIALISTS, PA
Active
Organization
MARYLAND SKIN CANCER SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MEZEBISH MD (PRESIDENT)
(240) 453-0050
Entity
Organization
Contact information
Practice address
75 THOMAS JOHNSON DR STE H, FREDERICK, MD 21702-4895
(240) 453-0050
(301) 668-9853
Mailing address
75 THOMAS JOHNSON DR STE H, FREDERICK, MD 21702-4895
(301) 668-9850
(301) 668-9853
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
889AMA
BLUE CROSS
MD
01
—
J819
BLUECROSS CHOICE
MD
Enumeration date
10/25/2006
Last updated
01/25/2023
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