Organization
INTEGRATED DERMATOLOGY OF SHADY GROVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S FROMOWITZ MD (AUTHORIZED OFFICIAL)
(561) 314-2000
Entity
Organization
Contact information
Practice address
15245 SHADY GROVE RD, 370, ROCKVILLE, MD 20850
(240) 246-7417
Mailing address
4700 EXCHANGE CT, SUITE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
(561) 431-2821
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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