Organization
DERM-360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARATH BALU PHD MD (PHYSICIAN)
(540) 560-3969
Entity
Organization
Contact information
Practice address
319 E ANTIETAM ST, HAGERSTOWN, MD 21740-5701
(540) 560-3969
Mailing address
319 E ANTIETAM ST, HAGERSTOWN, MD 21740-5701
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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