Organization
GREATER WASHINGTON SKIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVAN KUMAR NOOTHETI MD (OWNER)
(858) 752-4459
Entity
Organization
Contact information
Practice address
4700 BERWYN HOUSE RD, SUITE 108, COLLEGE PARK, MD 20740-2474
(858) 752-4459
Mailing address
4700 BERWYN HOUSE RD, SUITE 108, COLLEGE PARK, MD 20740-2474
(858) 752-4459
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DO073150
MD
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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