Advanced Dermatology Of Maryland Pc

LBN: Advanced Dermatology Of Maryland Pc
Advanced Dermatology Of Maryland Pc is an health care organization with primary practice located at 2401 Research Blvd Ste 260 , Rockville MD 20850-3261. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Dermatology Of Maryland Pc can be contacted via phone (301) 990-6565, or through Leavitt, Matt Louis via phone (407) 875-2080.

Contact Information

Primary practice address
2401 Research Blvd Ste 260 Rockville MD 20850-3261
Phone: (301) 990-6565
Fax: (301) 990-8525
Website:
Map and Directions
Authorized official contact:
Name: Leavitt, Matt Louis Doctor of Osteopathy (DO)
Phone: (407) 875-2080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1760856413
LBN Legal business name Advanced Dermatology Of Maryland Pc
DBA Doing business as
Authorized official Leavitt, Matt Louis Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2015
Last updated Jan 22nd, 2018 - about 7 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 1760856413 NPPES
Maryland MEDICAID 8025029

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