Organization
UNIVERSITY OF MARYLAND DERMATOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONDA L WILLIAMS (CORPORATE DIRECTOR PROFESSIONAL FEE)
(667) 214-2500
Entity
Organization
Contact information
Practice address
1447 YORK RD STE 102, LUTHERVILLE, MD 21093-6017
(667) 214-1171
Mailing address
250 W PRATT ST STE 900, BALTIMORE, MD 21201-6808
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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