Healthcare Provider Details

I. General information

NPI: 1285651059
Provider Name (Legal Business Name): BRAUN DERMATOLOGY & SKIN CANCER CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NEW MEXICO AVE NW STE 301
WASHINGTON DC
20016-3603
US

IV. Provider business mailing address

3301 NEW MEXICO AVE NW STE 301
WASHINGTON DC
20016-3603
US

V. Phone/Fax

Practice location:
  • Phone: 202-293-7618
  • Fax: 202-775-1772
Mailing address:
  • Phone: 202-293-7618
  • Fax: 202-775-1772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARISA ANN BRAUN
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 202-293-7618