Provider profile · NPI 1477388197

Advanced Dermatology Of Maryland Pc

Dermatology · La Plata, MD · NPI 1477388197 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Dermatology

Enumerated

Sep 3, 2024

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING151 SOUTHHALL LN STE 300 Maitland, FL 32751-7172407-875-2080
LOCATION101 CENTENNIAL ST STE H La Plata, MD 20646-5976301-292-6010

View on NPPES registry ↗

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