Organization
CITY DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ZHANG DNP (OWNER)
(301) 233-0243
Entity
Organization
Contact information
Practice address
5632 ANNAPOLIS RD STE 4, BLADENSBURG, MD 20710-2213
(301) 233-0243
Mailing address
13623 BALTIMORE AVE, LAUREL, MD 20707-5095
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04824517
—
NY
Enumeration date
01/15/2019
Last updated
07/12/2021
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