Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrated Dermatology of Shady Grove LLC

Organization Dermatology Physician · NPI 1649951781

Integrated Dermatology of Shady Grove LLC provides Dermatology Physician services in Rockville, Maryland. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15245 Shady Grove Rd 370
Rockville, MD 20850
Phone: (240) 246-7417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1649951781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Fromowitz — Authorized Official · (561) 314-2000
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address4700 Exchange Ct, Suite 110, Boca Raton, FL 33431-4450

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