NPI 1760856413 · live from the CMS NPI Registry
Advanced Dermatology Of Maryland PC
Dermatology in Rockville, MD. National Provider Identifier 1760856413, active.
NPI record
| NPI | 1760856413 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2401 Research Blvd Ste 260, Rockville, MD 20850 |
| Practice phone | 301-990-6565 |
| Mailing address | 151 Southhall Ln, Suite 300, Maitland, FL 32751 |
| Enumerated | November 18, 2015 |
| Last updated | January 22, 2018 |
| Authorized official | Matt Leavitt, DO / Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.