NPI 1043457468
Mid Atlantic Skin Surgery Institute
Practice location
- Address
- 173 Saint Patricks Dr Suite 201, Waldorf, MD 20603-5529
- Phone
- (301) 475-8091
- Fax
- (301) 472-6712
- Mailing address
- 173 Saint Patricks Dr STE 201, Waldorf, MD 20603-5531
Authorised official
- Name
- George Kannarkat Verghese
- Title
- Medical Director
- Phone
- (301) 396-3401
Registered specialties (2)
Dermatology Physician
Primary
MOHS-Micrographic Surgery Physician
Registry record
- NPI
- 1043457468
- Entity type
- Organization
- NPI issued
- 8 Jan 2009
- Record last updated
- 11 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.