Organization
MODERN DERMATOLOGY OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE ALEXANDER NEIDIG MD (MANAGING MEMBER)
(410) 216-0993
Entity
Organization
Contact information
Practice address
2568A RIVA RD STE 102, ANNAPOLIS, MD 21401-7457
(410) 216-0993
Mailing address
2568A RIVA RD STE 102, ANNAPOLIS, MD 21401-7457
(410) 216-0993
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
08/12/2022
Last updated
12/03/2024
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