Organization
DERMATOLOGY & ADVANCED SKIN CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MASHBURN (OFFICE MANAGER)
(410) 203-0607
Entity
Organization
Contact information
Practice address
6021 UNIVERSITY BLVD, STE 390, ELLICOTT CITY, MD 21043-6077
(410) 203-0607
Mailing address
6021 UNIVERSITY BLVD, STE 390, ELLICOTT CITY, MD 21043-6077
(410) 203-0607
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H0077765
MD
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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