INTEGRATED DERMATOLOGY OF MASS AVE LLC NPI 1417450883

NPI Information

  • NPI: 1417450883
  • Provider Name: INTEGRATED DERMATOLOGY OF MASS AVE, LLC
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Organization
  • Address: 4910 MASSACHUSETTS AVE NW STE 308
    WASHINGTON, DC
    ZIP 20016
  • Phone: (202) 695-1000

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NPI Details

INTEGRATED DERMATOLOGY OF MASS AVE, LLC is a mohs-micrographic surgery dermatology in Washington, DC. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. INTEGRATED DERMATOLOGY OF MASS AVE, LLC NPI is 1417450883. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4910 MASSACHUSETTS AVE NW STE 308
WASHINGTON, DC
ZIP 20016-382
Phone: (202) 695-1000
Fax: (202) 503-1791

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 enumeration date for this NPI number is 3/13/2018 and was last updated on 5/1/2018.

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
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

What is NPI?

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

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