INTEGRATED DERMATOLOGY OF CHEVY CHASE LLC NPI 1104374081

NPI Information

  • NPI: 1104374081
  • Provider Name: INTEGRATED DERMATOLOGY OF CHEVY CHASE, LLC
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • CLIA Number: 21D2121729
  • Address: 5530 WISCONSIN AVE STE 1418
    CHEVY CHASE, MD
    ZIP 20815
  • Phone: (301) 986-1880

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NPI Details

INTEGRATED DERMATOLOGY OF CHEVY CHASE, LLC is a dermatopathology dermatology in Chevy Chase, MD. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. INTEGRATED DERMATOLOGY OF CHEVY CHASE, LLC NPI is 1104374081. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5530 WISCONSIN AVE STE 1418
CHEVY CHASE, MD
ZIP 20815-302
Phone: (301) 986-1880

The provider's authorized official is Adam S. Plotkin .
The authorized official title is Authorized Official and has the following contact phone number (561) 314-2000.

The CLIA number assigned to this NPI record is 21D2121729 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/20/2016 and was last updated on 1/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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