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Organization

HAGERSTOWN DERM AND SKIN CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHANNA FANGMEYER NP (OWNER)
(240) 469-4835
Entity
Organization

Contact information

Practice address
1136 OPAL CT, HAGERSTOWN, MD 21740-5940
(240) 469-4835
(240) 469-4836
Mailing address
13424 PENNSYLVANIA AVE, SUITE 101, HAGERSTOWN, MD 21742-2658
(301) 370-6688

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R134352
MD

Other

Enumeration date
08/25/2013
Last updated
07/21/2022
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