Organization
AESTHETIC DERMATOLOGY AND DERMATOLOGIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A COATS-WALTON MD (MEDICAL DIRECTOR)
(301) 809-4321
Entity
Organization
Contact information
Practice address
4321 COLLINGTON RD, SUITE 230, BOWIE, MD 20716
(301) 809-4321
(301) 809-5798
Mailing address
4321 COLLINGTON RD, SUITE 230, BOWIE, MD 20716-2259
(301) 809-4321
(301) 809-5798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0051777
MD
Other
Enumeration date
03/30/2009
Last updated
08/27/2018
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