Organization · Type 2 NPI

Center for Dermatology and Dermatologic Surgery Management, LLC

Procedural Dermatology Physician · Annapolis, MD

NPI number 1508103011 Active

Practice location

167 Jennifer Rd Ste W
Annapolis, MD 21401-7910

Mailing address

2311 M St NW Ste 504, Suite
Washington, DC 20037-1495

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135XNone listed

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

About NPI 1508103011

Center for Dermatology and Dermatologic Surgery Management, LLC's National Provider Identifier is 1508103011, issued on Jan 4, 2013. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Annapolis, MD. The record was last updated on Oct 14, 2026.