Organization
EPIPHANY DERMATOLOGY OF MARYLAND PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHEORGHE PUSTA (EXECUTIVE DIRECTOR)
(512) 628-0465
Entity
Organization
Contact information
Practice address
19735 GERMANTOWN RD STE 210, GERMANTOWN, MD 20874-1217
(301) 444-0153
Mailing address
7300 RANCH ROAD 2222, BLDG 1, STE 200, AUSTIN, TX 78730
(512) 628-0465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
11/12/2025
Update your record
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