OrganizationActive
Montgomery Dermatology Associates, LLC
NPI 1083012355 · Medical Specialty Clinic/Center · Rockville, MD
Provider details
- NPI number
- 1083012355
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Giblin, Member / Owner(301) 216-2983
- License
- D0042867 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
15225 Shady Grove Rd
Ste. 303
Rockville, MD 20850-3254
Phone: (301) 216-2980
Fax: (301) 216-2982
Approximate (ZIP-level) locationGet directions
Mailing address
15225 Shady Grove Rd
Rockville, MD 20850-3254
Registry dates
- Enumerated
- 2014-12-18
- Last updated
- 2014-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.