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Organization

GUNNING DERMATOLOGY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEAN THOMAS GUNNING MD (PRESIDENT)
(240) 498-7356
Entity
Organization

Contact information

Practice address
5530 WISCONSIN AVE, CHEVY CHASE, MD 20815-4404
(301) 986-1880
Mailing address
12903 INNISBROOK DR, BELTSVILLE, MD 20705-5104
(301) 946-2369

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0062385
MD
261Q00000X
Clinic/Center
DOO62385
MD

Other

Enumeration date
06/10/2009
Last updated
06/10/2009
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