Organization
WESTMINSTER DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY D QUEEN MANAGER (MANAGER)
(561) 314-2000
Entity
Organization
Contact information
Practice address
532 BALTIMORE BLVD STE 211, WESTMINSTER, MD 21157-6117
(410) 751-3840
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/15/2014
Last updated
01/23/2019
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