ETERNAL DERMATOLOGY AND AESTHETIC CENTER LLC
NPI 1033659164
Dermatology in Fulton, MD

Active since March 08, 2017
11711 E MARKET PL STE 100, FULTON, MD 20759(301) 479-6544(240) 654-0408 Get Directions Write a Review

NPPES record last updated: September 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2024, Jun 21, 2024, May 22, 2019 and 1 more (4 updates tracked since 2018).

About Eternal Dermatology And Aesthetic Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETERNAL DERMATOLOGY AND AESTHETIC CENTER LLC (NPI 1033659164) is a healthcare organization registered as a dermatology in Fulton, Maryland and active in the NPI registry since March 2017. The organization lists Ife Rodney, Medical Director/founder, as its authorized official.

NPPES Registry Identity

NPI1033659164
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameETERNAL DERMATOLOGY AND AESTHETIC CENTER LLC
Location Address11711 E MARKET PL STE 100Fulton, MD 20759-2595
Mailing Address11711 E Market Pl Ste 100Fulton, MD 20759-2710 · (301) 479-6544 · Fax (301) 622-3377
Fax(240) 654-0408
Organization SubpartNo
Authorized OfficialIfe RodneyMedical Director/founder · (301) 479-6544
Enumeration DateMarch 8, 2017
Last NPPES UpdateSeptember 28, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2024
NPI 1033659164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MD · D0071033
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
11711 E MARKET PL STE 100, Fulton, MD 20759

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
11711 E MARKET PL STE 100
FULTON, MD 20759
Physician Assistant
11711 E MARKET PL STE 100
FULTON, MD 20759
Physician Assistant
11711 E MARKET PL STE 100
FULTON, MD 20759

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eternal Dermatology And Aesthetic Center LLC's NPI number?

The NPI number for Eternal Dermatology And Aesthetic Center LLC is 1033659164. It was assigned to this organization in the NPPES registry on March 8, 2017.

Where is Eternal Dermatology And Aesthetic Center LLC located?

Eternal Dermatology And Aesthetic Center LLC is located at 11711 E Market Pl Ste 100, Fulton, MD 20759. The listed phone number is (301) 479-6544.

What is Eternal Dermatology And Aesthetic Center LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Eternal Dermatology And Aesthetic Center LLC was last updated on September 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.