Healthcare Provider Details

I. General information

NPI: 1093637118
Provider Name (Legal Business Name): SKIN & BONES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 BONIFANT STREET SILVER
SPRING MD
20910
US

IV. Provider business mailing address

2356 HAMILTOWNE CIR
BALTIMORE MD
21237-1453
US

V. Phone/Fax

Practice location:
  • Phone: 443-642-9101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FLORENCE ONWUCHEKWA
Title or Position: OWNER
Credential:
Phone: 443-642-9101