Modern Dermatology Of Maryland, Llc

LBN: Modern Dermatology Of Maryland, Llc
Modern Dermatology Of Maryland, Llc is an health care organization with primary practice located at 2568A Riva Rd Ste 102 , Annapolis MD 21401-7457. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Modern Dermatology Of Maryland, Llc can be contacted via phone (410) 216-0993, or through Neidig, Lane Alexander via phone (410) 216-0993.

Contact Information

Primary practice address
2568A Riva Rd Ste 102 Annapolis MD 21401-7457
Phone: (410) 216-0993
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Neidig, Lane Alexander Doctor of Medicine (MD)
Phone: (410) 216-0993

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1619605078
LBN Legal business name Modern Dermatology Of Maryland, Llc
DBA Doing business as
Authorized official Neidig, Lane Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2022
Last updated Mar 1st, 2023 - about last year

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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