Organization
GREEN DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADY GERGES MD (OWNER)
(302) 459-5010
Entity
Organization
Contact information
Practice address
310 MULLET RUN, MILFORD, DE 19963-5371
(302) 459-5010
(302) 487-1727
Mailing address
310 MULLET RUN, MILFORD, DE 19963-5371
(302) 459-5010
(302) 487-1727
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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