Organization
EPIPHANY DERMATOLOGY OF MARYLAND PA
Active
Other names
Epiphany Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
GHEORGHE PUSTA (EXECUTIVE DIRECTOR)
(512) 628-0465
Entity
Organization
Contact information
Practice address
6500 ROCK SPRING DR STE 105, BETHESDA, MD 20817-1154
(301) 530-8300
Mailing address
7300 RANCH ROAD 2222, BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 628-0465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
05/05/2006
Last updated
11/12/2025
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