Healthcare Provider Details

I. General information

NPI: 1679151484
Provider Name (Legal Business Name): QAREN QUARTEOKOR QUARTEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19785 CRYSTAL ROCK DR STE 208
GERMANTOWN MD
20874-4715
US

IV. Provider business mailing address

19785 CRYSTAL ROCK DR STE 208
GERMANTOWN MD
20874-4715
US

V. Phone/Fax

Practice location:
  • Phone: 240-813-8215
  • Fax: 240-616-1959
Mailing address:
  • Phone: 240-813-8215
  • Fax: 240-616-1959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0102032
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: