Dermatology & Advanced Skin Care

LBN: Dermatology & Advanced Skin Care
Dermatology & Advanced Skin Care is an health care organization with primary practice located at 6021 University Blvd Suite 390, Ellicott City MD 21043-6077. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dermatology & Advanced Skin Care can be contacted via phone (410) 203-0607, or through Rusonis, Elisa via phone (410) 203-0607.

Contact Information

Primary practice address
6021 University Blvd Suite 390 Ellicott City MD 21043-6077
Phone: (410) 203-0607
Fax: (410) 203-0677
Website:
Map and Directions
Authorized official contact:
Name: Rusonis, Elisa
Phone: (410) 203-0607

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0030058 Maryland

Profile Details

NPI number 1992738124
LBN Legal business name Dermatology & Advanced Skin Care
DBA Doing business as
Authorized official Rusonis, Elisa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 1st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992738124 NPPES
Maryland Other 553M860F MEDICARE PTAN

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