NPI 1962890186

Dermatology & Advanced Skin Care, INC.

Organisation Dermatology Physician Ellicott City, MD

Practice location

Address: 6021 University Blvd STE 390, Ellicott City, MD 21043-6077
Phone: (410) 203-0607

Authorised official

Name: Donna Mashburn
Title: Office Manager
Phone: (410) 203-0607

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence H0077765 (MD)

Other Dermatology providers in Maryland →

Registry record

NPI: 1962890186
Entity type: Organization
NPI issued: 23 Dec 2014
Record last updated: 23 Dec 2014

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.