Organization
CENTER FOR DERMATOLOGY & DERMATOLOGIC SURGERY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL MARIE BURGESS MD (CEO)
(202) 955-5757
Entity
Organization
Contact information
Practice address
2311 M STREET, NW, SUITE 504, WASHINGTON, DC 20037-1445
(202) 955-5757
(202) 955-5797
Mailing address
2311 M STREET, NW, SUITE 504, WASHINGTON, DC 20037-1445
(202) 955-5757
(202) 955-5797
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G00005
MEDICARE
DC
Enumeration date
09/06/2007
Last updated
03/02/2010
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