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Organization

CECIL DERMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY GROUX (BILLING MANAGER)
(302) 633-5840
Entity
Organization

Contact information

Practice address
304 NORTH ST STE 3, ELKTON, MD 21921-5570
(410) 620-9722
Mailing address
304 NORTH ST STE 3, ELKTON, MD 21921-5570
(410) 620-9722

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D0053034
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC3411
MEDICARE RAILROAD
MD
Enumeration date
02/13/2007
Last updated
05/16/2022
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