Organization
MARYLAND SKIN CARE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGADEESH S V KUMAR MD (SOLE MEMBER)
(602) 930-0509
Entity
Organization
Contact information
Practice address
216 E PULASKI HWY, 125, ELKTON, MD 21921-6497
(443) 485-6614
(410) 286-1700
Mailing address
216 E PULASKI HWY, 125, ELKTON, MD 21921-6497
(443) 485-6614
(410) 286-1700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0067588
MD
207R00000X
Internal Medicine Physician
D0067588
MD
Other
Enumeration date
04/29/2011
Last updated
09/18/2024
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