Organization
VERGHESE & LING M.D.P.A.
Active
Other names
Mid Atlantic Skin Surgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KANNARKAT VERGHESE MD (MEDICAL DIRECTOR)
(301) 396-3401
Entity
Organization
Contact information
Practice address
26840 POINT LOOKOUT RD, LEONARDTOWN, MD 20650
(301) 396-3401
(301) 396-3404
Mailing address
173 SAINT PATRICKS DR STE 201, WALDORF, MD 20603-5531
(301) 396-3401
(301) 396-3404
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432981300
—
MD
01
—
DC1697
MEDICARE RAILROAD
MD
Enumeration date
06/29/2006
Last updated
03/13/2025
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