Divergent Dermatology and Aesthetics
Divergent Dermatology and Aesthetics provides Dermatology Physician services in Gaithersburg, Maryland. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
18310 Montgomery Village Ave Ste 300Gaithersburg, MD 20879-3552
Phone: (240) 813-8215
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1407663214 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Qaren Quartey — Owner · (240) 477-9883 |
| NPI enumerated | December 16, 2024 |
| Last updated in NPPES | December 16, 2024 |
| Certification date | December 15, 2024 |
| Mailing address | 18310 Montgomery Village Ave Ste 300, Gaithersburg, MD 20879-3552 |
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